Basic Information
Provider Information
NPI: 1972932820
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ONETO
FirstName: CHERYL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 409099
Address2:  
City: IONE
State: CA
PostalCode: 956409099
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4001 HWY 104
Address2:  
City: IONE
State: CA
PostalCode: 95640
CountryCode: US
TelephoneNumber: 2092744911
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/01/2013
LastUpdateDate: 11/01/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XRPH 53622CAY Pharmacy Service ProvidersPharmacist 

No ID Information.


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