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NPI Code Detail

MEDICARE: ASHLEY MCCOY

MEDICARE:   ASHLEY  MCCOY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202212044VA
2183500000XPharmacist051.293632IL

General Provider Information

NPI Number : 1164863197
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MCCOY
Provider Business Mailing Address
First Line : 7107 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1501
Country : US
Telephone Number : 804-330-3526
Fax Number :
Provider Business Practice Location Address
First Line : 7107 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1501
Country : US
Telephone Number : 804-330-3526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2013
Last Update Date : 07/06/2013

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Directions to “ ASHLEY MCCOY ” Practice Location

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