Provider Demographics
NPI:1124169206
Name:CASHMAN, SHARON K (RPH)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:CASHMAN
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 1:312 9TH ST SW STE 10000
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-2929
Mailing Address - Country:US
Mailing Address - Phone:319-483-4100
Mailing Address - Fax:319-483-4101
Practice Address - Street 1:312 9TH ST SW STE 1000
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677-2916
Practice Address - Country:US
Practice Address - Phone:319-483-4100
Practice Address - Fax:319-483-4101
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16896183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA16896OtherPHARMACIST LICENSE #