Provider Demographics
NPI:1669752226
Name:LOEFFELHOLZ, ASHLEY RAE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:RAE
Last Name:LOEFFELHOLZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:RAE
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:NUCARA PHARMACY #28
Mailing Address - Street 2:3600 UNIVERSITY BLVD SUITE 103
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010
Mailing Address - Country:US
Mailing Address - Phone:515-292-3604
Mailing Address - Fax:515-292-3645
Practice Address - Street 1:NUCARA PHARMACY #28
Practice Address - Street 2:3600 UNIVERSITY BLVD SUITE 103
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010
Practice Address - Country:US
Practice Address - Phone:515-292-3604
Practice Address - Fax:515-292-3645
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.294705183500000X
IA20809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist