Provider Demographics
NPI:1952625113
Name:ALAY, ASHOK ROGER (RPH)
Entity Type:Individual
Prefix:
First Name:ASHOK
Middle Name:ROGER
Last Name:ALAY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9711 SHADOW VALLEY CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-5381
Mailing Address - Country:US
Mailing Address - Phone:423-386-5066
Mailing Address - Fax:423-443-4297
Practice Address - Street 1:9711 SHADOW VALLEY CIR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-5381
Practice Address - Country:US
Practice Address - Phone:423-386-5066
Practice Address - Fax:423-443-4297
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist