Provider Demographics
NPI:1407141237
Name:AHLERS, TODD DOUGLAS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:DOUGLAS
Last Name:AHLERS
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 1:15444 N FRANK LLOYD WRIGHT BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2845
Mailing Address - Country:US
Mailing Address - Phone:480-860-0219
Mailing Address - Fax:480-860-0219
Practice Address - Street 1:15444 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2845
Practice Address - Country:US
Practice Address - Phone:480-860-0219
Practice Address - Fax:480-860-0219
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSO15477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist