Provider Demographics
NPI:1477820520
Name:CARROLL, ASHLEY JEAN (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JEAN
Last Name:CARROLL
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 1:99 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4668
Mailing Address - Country:US
Mailing Address - Phone:724-228-3201
Mailing Address - Fax:
Practice Address - Street 1:99 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4668
Practice Address - Country:US
Practice Address - Phone:724-228-3201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA444000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist