Provider Demographics
NPI:1114270980
Name:ASHMENT, CHRISTOPHER TROY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TROY
Last Name:ASHMENT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13229 S 48TH ST
Mailing Address - Street 2:# 1020
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5037
Mailing Address - Country:US
Mailing Address - Phone:602-505-9849
Mailing Address - Fax:
Practice Address - Street 1:13229 S 48TH ST
Practice Address - Street 2:# 1020
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-5037
Practice Address - Country:US
Practice Address - Phone:602-505-9849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist