Provider Demographics
NPI:1598106395
Name:WARD, ASHLEY SCOTT JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:SCOTT
Last Name:WARD
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 SE BAYA DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-5403
Mailing Address - Country:US
Mailing Address - Phone:386-755-6677
Mailing Address - Fax:386-755-4133
Practice Address - Street 1:780 SE BAYA DR
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5403
Practice Address - Country:US
Practice Address - Phone:386-755-6677
Practice Address - Fax:386-755-4133
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist