Provider Demographics
NPI:1619306826
Name:PASHIA, AMBER (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:PASHIA
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 1:617 N COWLING ST
Mailing Address - Street 2:STE. G
Mailing Address - City:DESLOGE
Mailing Address - State:MO
Mailing Address - Zip Code:63601-3119
Mailing Address - Country:US
Mailing Address - Phone:573-431-6677
Mailing Address - Fax:
Practice Address - Street 1:617 N COWLING ST
Practice Address - Street 2:STE. G
Practice Address - City:DESLOGE
Practice Address - State:MO
Practice Address - Zip Code:63601-3119
Practice Address - Country:US
Practice Address - Phone:573-431-6677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007024430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist