Provider Demographics
NPI:1720301641
Name:PENCE, ASHLEY JEANNINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:JEANNINE
Last Name:PENCE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 ELM ST
Mailing Address - Street 2:WALMART PHARMACY
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-2935
Mailing Address - Country:US
Mailing Address - Phone:814-459-3653
Mailing Address - Fax:
Practice Address - Street 1:2711 ELM ST
Practice Address - Street 2:WALMART PHARMACY
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-2935
Practice Address - Country:US
Practice Address - Phone:814-459-3653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443607183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist