Provider Demographics
NPI:1922393982
Name:CHARLEY, ASHLEE LAUREN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:LAUREN
Last Name:CHARLEY
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 1:120 W GRANT ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-3932
Mailing Address - Country:US
Mailing Address - Phone:407-608-1581
Mailing Address - Fax:407-608-1591
Practice Address - Street 1:120 W GRANT ST
Practice Address - Street 2:T-2376
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-3932
Practice Address - Country:US
Practice Address - Phone:407-608-1581
Practice Address - Fax:407-608-1591
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443771183500000X
FLPS45345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist