Provider Demographics
NPI:1013538073
Name:RICH, ASHLEY MCMAHAN (PHARMD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MCMAHAN
Last Name:RICH
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 1:226 CROFT WAY
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4633
Mailing Address - Country:US
Mailing Address - Phone:615-513-0045
Mailing Address - Fax:
Practice Address - Street 1:1301 BELL RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-3730
Practice Address - Country:US
Practice Address - Phone:615-837-6990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist