Provider Demographics
NPI:1790428522
Name:TORRES, ASHLEY SACLOLO
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SACLOLO
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:SACLOLO
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2337 SPRING GROVE DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-9097
Mailing Address - Country:US
Mailing Address - Phone:510-685-7466
Mailing Address - Fax:
Practice Address - Street 1:2337 SPRING GROVE DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-9097
Practice Address - Country:US
Practice Address - Phone:510-685-7466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist