Provider Demographics
NPI:1992872659
Name:AIKEN, CHERYL ANNE (BS, PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANNE
Last Name:AIKEN
Suffix:
Gender:F
Credentials:BS, PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SUNSET LAKE RD
Mailing Address - Street 2:
Mailing Address - City:DUMMERSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05301-9585
Mailing Address - Country:US
Mailing Address - Phone:802-254-7628
Mailing Address - Fax:
Practice Address - Street 1:ANNA MARSH LANE
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05302
Practice Address - Country:US
Practice Address - Phone:802-258-3739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033-0002879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist