Provider Demographics
NPI:1457377970
Name:VASKE, SHERYL L (RPH PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:L
Last Name:VASKE
Suffix:
Gender:F
Credentials:RPH PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57026-0326
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 W BROAD AVE
Practice Address - Street 2:
Practice Address - City:FLANDREAU
Practice Address - State:SD
Practice Address - Zip Code:57028-1529
Practice Address - Country:US
Practice Address - Phone:605-997-2642
Practice Address - Fax:605-997-9940
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD4501183500000X
MN114703-0183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist