Provider Demographics
NPI:1811205362
Name:TOWNSEND, ASHLEY BREONNA (PHARM D)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BREONNA
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 N SHADELAND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-1734
Mailing Address - Country:US
Mailing Address - Phone:317-203-0402
Mailing Address - Fax:317-203-4088
Practice Address - Street 1:2060 N SHADELAND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-1734
Practice Address - Country:US
Practice Address - Phone:317-203-0402
Practice Address - Fax:317-203-4088
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26023814A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist