Provider Demographics
NPI:1437752037
Name:ASHER, DANELLE RENEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANELLE
Middle Name:RENEE
Last Name:ASHER
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 1:436 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-3602
Mailing Address - Country:US
Mailing Address - Phone:217-224-2828
Mailing Address - Fax:217-224-3608
Practice Address - Street 1:436 N 30TH ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-3602
Practice Address - Country:US
Practice Address - Phone:217-224-2828
Practice Address - Fax:217-224-3608
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016040294183500000X
IL051295188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist