Provider Demographics
NPI:1891307641
Name:ADAMS, ASHLEE RENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:RENE
Last Name:ADAMS
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 1:3670 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-5400
Mailing Address - Country:US
Mailing Address - Phone:901-309-2621
Mailing Address - Fax:901-309-2489
Practice Address - Street 1:3670 RIVERDALE RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-5400
Practice Address - Country:US
Practice Address - Phone:901-309-2621
Practice Address - Fax:901-309-2489
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist