Healthcare Provider Details

I. General information

NPI: 1518950468
Provider Name (Legal Business Name): CHERYL LEE FILBY R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 HARMON AVE DEPARTMENT OF PHARMACY
FT STEWART GA
31314-5604
US

IV. Provider business mailing address

170 DALCROSS DR
RICHMOND HILL GA
31324-9326
US

V. Phone/Fax

Practice location:
  • Phone: 912-435-6796
  • Fax:
Mailing address:
  • Phone: 912-756-3959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-2-16742
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: