Provider Demographics
NPI:1831203272
Name:DICK, ASHLEY WALKER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:WALKER
Last Name:DICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:1097 WESTON DR
Mailing Address - Street 2:UNIT 4
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3493
Mailing Address - Country:US
Mailing Address - Phone:615-288-4037
Mailing Address - Fax:615-288-4061
Practice Address - Street 1:1097 WESTON DR
Practice Address - Street 2:UNIT 4
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3493
Practice Address - Country:US
Practice Address - Phone:615-288-4037
Practice Address - Fax:615-288-4061
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN27442183500000X
GA23572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist