Provider Demographics
NPI:1518632835
Name:THOMPSON, ASHLEIGH (PHAMRD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PHAMRD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10237 E RANCHO DIEGO LN
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-9435
Mailing Address - Country:US
Mailing Address - Phone:817-734-1710
Mailing Address - Fax:
Practice Address - Street 1:3425 SYCAMORE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-3030
Practice Address - Country:US
Practice Address - Phone:817-734-1710
Practice Address - Fax:817-370-2219
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist