Provider Demographics
NPI:1851638779
Name:THOMPSON, ASHLEY BODIE (PHARM D)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BODIE
Last Name:THOMPSON
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 1:3141 OVERTON RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2846
Mailing Address - Country:US
Mailing Address - Phone:205-967-2315
Mailing Address - Fax:205-967-2447
Practice Address - Street 1:3141 OVERTON RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2846
Practice Address - Country:US
Practice Address - Phone:205-967-2315
Practice Address - Fax:205-967-2447
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist