Healthcare Provider Details

I. General information

NPI: 1982167656
Provider Name (Legal Business Name): CHEELOVE JOINVILLE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHEELOVE CINEAS PHARMD

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S STATE ST
DOVER DE
19901-3530
US

IV. Provider business mailing address

640 S STATE ST
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-7002
  • Fax:
Mailing address:
  • Phone: 302-744-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0005341
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: