Provider Demographics
NPI:1679808075
Name:LYNCH, CHERYL MARIE
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:MARIE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 MOUNTAIN FALLS CT
Mailing Address - Street 2:APT 107
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1878
Mailing Address - Country:US
Mailing Address - Phone:919-360-5190
Mailing Address - Fax:
Practice Address - Street 1:6901 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-7142
Practice Address - Country:US
Practice Address - Phone:919-420-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist