Provider Demographics
NPI:1518342187
Name:SHOGREN, ASHLEY M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:M
Last Name:SHOGREN
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 1:205 N VINE ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-2055
Mailing Address - Country:US
Mailing Address - Phone:316-321-5330
Mailing Address - Fax:316-321-1254
Practice Address - Street 1:2233 N RIDGE RD STE 101
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1131
Practice Address - Country:US
Practice Address - Phone:316-729-6000
Practice Address - Fax:316-729-6010
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-16764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist