Provider Demographics
NPI:1255962817
Name:ASH, ASHLEY
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:ASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 N MAIN
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-9704
Mailing Address - Country:US
Mailing Address - Phone:517-625-3322
Mailing Address - Fax:517-625-5092
Practice Address - Street 1:681 N MAIN
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-9704
Practice Address - Country:US
Practice Address - Phone:517-625-3322
Practice Address - Fax:517-625-5092
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist