Provider Demographics
NPI:1164777231
Name:BALL, ASHLEY DIANE BROWNING (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:DIANE BROWNING
Last Name:BALL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:DIANE
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6080 U S HIGHWAY 98
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-8854
Mailing Address - Country:US
Mailing Address - Phone:601-268-7755
Mailing Address - Fax:601-268-7757
Practice Address - Street 1:6080 U S HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8854
Practice Address - Country:US
Practice Address - Phone:601-268-7755
Practice Address - Fax:601-268-7757
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE12672183500000X
MSE-12672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist