Provider Demographics
NPI:1457632473
Name:MOONEY, ASHLEY E (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:E
Last Name:MOONEY
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 1:128 FOX HUNT DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2535
Mailing Address - Country:US
Mailing Address - Phone:302-834-9209
Mailing Address - Fax:302-834-9215
Practice Address - Street 1:128 FOX HUNT DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2535
Practice Address - Country:US
Practice Address - Phone:302-834-9209
Practice Address - Fax:302-834-9215
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist