Provider Demographics
NPI:1669908331
Name:LUEBKE, ASHLEY (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:LUEBKE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 NAVARRE AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3313
Mailing Address - Country:US
Mailing Address - Phone:419-691-7034
Mailing Address - Fax:419-691-7462
Practice Address - Street 1:3301 NAVARRE AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3313
Practice Address - Country:US
Practice Address - Phone:419-691-7034
Practice Address - Fax:419-691-7462
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031293391835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist