Provider Demographics
NPI:1649592494
Name:ASHWILL, CHERYL W (RPH)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:W
Last Name:ASHWILL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 HUBBELL AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-6101
Mailing Address - Country:US
Mailing Address - Phone:515-266-4896
Mailing Address - Fax:515-266-8313
Practice Address - Street 1:2535 HUBBELL AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-6101
Practice Address - Country:US
Practice Address - Phone:515-266-4896
Practice Address - Fax:515-266-8313
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15668183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist