Provider Demographics
NPI:1669066874
Name:WESTLAND, CHERYL JANE
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:JANE
Last Name:WESTLAND
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 1:319 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:BELLE FOURCHE
Mailing Address - State:SD
Mailing Address - Zip Code:57717-2069
Mailing Address - Country:US
Mailing Address - Phone:406-390-4617
Mailing Address - Fax:605-723-4010
Practice Address - Street 1:600 STATE ST
Practice Address - Street 2:
Practice Address - City:BELLE FOURCHE
Practice Address - State:SD
Practice Address - Zip Code:57717-1419
Practice Address - Country:US
Practice Address - Phone:605-723-5920
Practice Address - Fax:605-723-4010
Is Sole Proprietor?:No
Enumeration Date:2021-02-28
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist