Provider Demographics
NPI:1891763264
Name:BYRGE, ASHLEY L (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:L
Last Name:BYRGE
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:L
Other - Last Name:BOTTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPHT
Mailing Address - Street 1:375 NELSON LN
Mailing Address - Street 2:
Mailing Address - City:PIONEER
Mailing Address - State:TN
Mailing Address - Zip Code:37847-2742
Mailing Address - Country:US
Mailing Address - Phone:423-663-3406
Mailing Address - Fax:
Practice Address - Street 1:950 BAKER HWY
Practice Address - Street 2:SUITE #1
Practice Address - City:HUNTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37756-4168
Practice Address - Country:US
Practice Address - Phone:423-663-9355
Practice Address - Fax:423-663-3992
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician