Provider Demographics
NPI:1376012013
Name:CONNER, ASHLEY NECOLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NECOLE
Last Name:CONNER
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 1:2202 PIKE RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-5400
Mailing Address - Country:US
Mailing Address - Phone:620-221-9437
Mailing Address - Fax:620-221-3784
Practice Address - Street 1:2202 PIKE RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-5400
Practice Address - Country:US
Practice Address - Phone:620-221-9437
Practice Address - Fax:620-221-3784
Is Sole Proprietor?:No
Enumeration Date:2018-11-23
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-106685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist