Provider Demographics
NPI:1073295648
Name:CROSSMAN, ASHLEY (RPH)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CROSSMAN
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 1:550 LIBERTY ST APT 505
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-7375
Mailing Address - Country:US
Mailing Address - Phone:781-733-6654
Mailing Address - Fax:
Practice Address - Street 1:320 NORWOOD PARK S
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4659
Practice Address - Country:US
Practice Address - Phone:888-633-6463
Practice Address - Fax:844-633-6463
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH236226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist