Provider Demographics
NPI:1295068997
Name:MILLER, ASHLY RENEE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ASHLY
Middle Name:RENEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:DR
Other - First Name:ASHLY
Other - Middle Name:RENEE
Other - Last Name:PECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD,RPH
Mailing Address - Street 1:5781 KYLE PKWY
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6743
Mailing Address - Country:US
Mailing Address - Phone:512-268-5749
Mailing Address - Fax:512-268-6973
Practice Address - Street 1:5781 KYLE PKWY
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6743
Practice Address - Country:US
Practice Address - Phone:512-268-5749
Practice Address - Fax:512-268-6973
Is Sole Proprietor?:No
Enumeration Date:2009-09-12
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007163183500000X
TX46224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist