Provider Demographics
NPI:1659974020
Name:WAINSCOTT, ASHLEY H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:H
Last Name:WAINSCOTT
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 1:1411 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-4052
Mailing Address - Country:US
Mailing Address - Phone:214-749-4092
Mailing Address - Fax:214-760-8716
Practice Address - Street 1:1411 MAIN ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75202-4052
Practice Address - Country:US
Practice Address - Phone:214-749-4092
Practice Address - Fax:214-760-8716
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist