Provider Demographics
NPI:1083126387
Name:HERTWIG-FRIELER, ASHLEY RAE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:HERTWIG-FRIELER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WYNDMERE
Mailing Address - State:ND
Mailing Address - Zip Code:58081-4125
Mailing Address - Country:US
Mailing Address - Phone:763-614-7696
Mailing Address - Fax:
Practice Address - Street 1:2400 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-5800
Practice Address - Country:US
Practice Address - Phone:701-234-9912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH6006183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist