Provider Demographics
NPI:1477137941
Name:BRAUM, ASHLEY E (PHARM D)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:E
Last Name:BRAUM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 TRI COUNTY LN
Mailing Address - Street 2:
Mailing Address - City:ROSTRAVER TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15012-1990
Mailing Address - Country:US
Mailing Address - Phone:724-929-3789
Mailing Address - Fax:724-929-6034
Practice Address - Street 1:300 TRI COUNTY LN
Practice Address - Street 2:
Practice Address - City:ROSTRAVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15012-1990
Practice Address - Country:US
Practice Address - Phone:724-929-3789
Practice Address - Fax:724-929-6034
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist