Provider Demographics
NPI:1083465371
Name:COENS, ASHLEY (PHARM D)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:COENS
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 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-2917
Mailing Address - Country:US
Mailing Address - Phone:507-401-8482
Mailing Address - Fax:
Practice Address - Street 1:600 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-2917
Practice Address - Country:US
Practice Address - Phone:507-401-8482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6965183500000X
MN125633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist