Provider Demographics
NPI:1447545066
Name:BIRTCIL, CHERYL ANNE (PHARMD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANNE
Last Name:BIRTCIL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 N ORACLE RD
Mailing Address - Street 2:T-0700
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9353
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10555 N ORACLE RD
Practice Address - Street 2:T-0700
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-9353
Practice Address - Country:US
Practice Address - Phone:520-219-4151
Practice Address - Fax:520-219-4151
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist