Provider Demographics
NPI:1790264190
Name:MCNEELEY, ASHLIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:
Last Name:MCNEELEY
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 1:150 TANNER LN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-6682
Mailing Address - Country:US
Mailing Address - Phone:865-457-4909
Mailing Address - Fax:
Practice Address - Street 1:150 TANNER LN
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-6682
Practice Address - Country:US
Practice Address - Phone:865-457-4909
Practice Address - Fax:865-457-4957
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34193183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist