Provider Demographics
NPI:1417242512
Name:BRIGHAM, ASHLEY M (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:BRIGHAM
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 1:400 COCHITUATE RD
Mailing Address - Street 2:TARGET PHARMACY
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4655
Mailing Address - Country:US
Mailing Address - Phone:508-628-6004
Mailing Address - Fax:508-628-6004
Practice Address - Street 1:400 COCHITUATE RD
Practice Address - Street 2:TARGET PHARMACY
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4655
Practice Address - Country:US
Practice Address - Phone:508-628-6004
Practice Address - Fax:508-628-6004
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232548183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist