Provider Demographics
NPI:1346516382
Name:HADDIX, ASHLEY LYNNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LYNNE
Last Name:HADDIX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10010 FRANKFORT HWY
Mailing Address - Street 2:
Mailing Address - City:FORT ASHBY
Mailing Address - State:WV
Mailing Address - Zip Code:26719-9277
Mailing Address - Country:US
Mailing Address - Phone:304-298-4557
Mailing Address - Fax:304-298-4259
Practice Address - Street 1:10010 FRANKFORT HWY
Practice Address - Street 2:
Practice Address - City:FORT ASHBY
Practice Address - State:WV
Practice Address - Zip Code:26719-9277
Practice Address - Country:US
Practice Address - Phone:304-298-4557
Practice Address - Fax:304-298-4259
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist