Provider Demographics
NPI:1205303237
Name:PHILIPOSE, ASHLEE ANN (DR)
Entity type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:ANN
Last Name:PHILIPOSE
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 GLASTONBURY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8403
Mailing Address - Country:US
Mailing Address - Phone:904-229-5766
Mailing Address - Fax:
Practice Address - Street 1:4959 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2727
Practice Address - Country:US
Practice Address - Phone:616-435-2446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000042125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist