Provider Demographics
NPI:1760834543
Name:REICH, ASHLEY (PHARMD, BCPS, BCPP)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:REICH
Suffix:
Gender:F
Credentials:PHARMD, BCPS, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 N PECOS RD # 119
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-4400
Mailing Address - Country:US
Mailing Address - Phone:217-430-0430
Mailing Address - Fax:
Practice Address - Street 1:7657 SW 57TH LN
Practice Address - Street 2:#157
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-4591
Practice Address - Country:US
Practice Address - Phone:217-430-0430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016023609183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist