Provider Demographics
NPI:1912314196
Name:CANNING, ASHLEY (RPH)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:CANNING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:
Mailing Address - City:LYON MOUNTAIN
Mailing Address - State:NY
Mailing Address - Zip Code:12952-0170
Mailing Address - Country:US
Mailing Address - Phone:518-578-2402
Mailing Address - Fax:
Practice Address - Street 1:6 VETERANS LN
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1257
Practice Address - Country:US
Practice Address - Phone:518-561-8667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-19
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0088199183500000X
NY065315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist