Provider Demographics
NPI:1043580301
Name:FOX, ASHLEE LAURAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:LAURAN
Last Name:FOX
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BORGER
Mailing Address - State:TX
Mailing Address - Zip Code:79007-4808
Mailing Address - Country:US
Mailing Address - Phone:806-231-9388
Mailing Address - Fax:806-274-2474
Practice Address - Street 1:600 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-4808
Practice Address - Country:US
Practice Address - Phone:806-231-9388
Practice Address - Fax:806-274-2474
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist