Provider Demographics
NPI:1679745152
Name:GREGORY, ASHLEY PAIGE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PAIGE
Last Name:GREGORY
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:CMR 415 BOX 4362
Mailing Address - Street 2:USAG GRAFENWOEHR HEALTH CLINIC
Mailing Address - City:APO AE
Mailing Address - State:US
Mailing Address - Zip Code:09114
Mailing Address - Country:DE
Mailing Address - Phone:01149964-680-8965
Mailing Address - Fax:
Practice Address - Street 1:CMR 415 BOX 4362
Practice Address - Street 2:USAG GRAFENWOEHR HEALTH CLINIC
Practice Address - City:APO AE
Practice Address - State:US
Practice Address - Zip Code:09114
Practice Address - Country:DE
Practice Address - Phone:01149964-680-8965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN