Healthcare Provider Details

I. General information

NPI: 1356954127
Provider Name (Legal Business Name): JULIE CHEICH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 08/31/2020
Certification Date: 08/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 BELMONT AVE
YOUNGSTOWN OH
44505-1820
US

IV. Provider business mailing address

4305 TIMBER RIDGE DR
INDEPENDENCE OH
44131-6053
US

V. Phone/Fax

Practice location:
  • Phone: 330-759-2062
  • Fax:
Mailing address:
  • Phone: 216-333-4030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03440166
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: