Provider Demographics
NPI:1508468836
Name:MARTINI, ASHLEY R (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:R
Last Name:MARTINI
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 1:844 E 305TH ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4905
Mailing Address - Country:US
Mailing Address - Phone:216-224-5008
Mailing Address - Fax:
Practice Address - Street 1:475 E 185TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1355
Practice Address - Country:US
Practice Address - Phone:216-383-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist