Provider Demographics
NPI:1548672256
Name:LUCAS, CHERYL ANN (PAHRM D)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANN
Last Name:LUCAS
Suffix:
Gender:F
Credentials:PAHRM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3117 BOMAR DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4907
Mailing Address - Country:US
Mailing Address - Phone:757-389-1313
Mailing Address - Fax:757-461-6567
Practice Address - Street 1:1200 N MILITARY HWY
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2227
Practice Address - Country:US
Practice Address - Phone:757-461-6462
Practice Address - Fax:757-461-6567
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist