MEDICARE: ASHLEY PAIGE KOVALESKI PHARMD

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
1	183500000X	Pharmacist	PD10136	AR

General Provider Information

NPI Number	:	1619800497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY PAIGE KOVALESKI PHARMD

Provider Business Mailing Address
First Line	:	1910 SAWGRASS DR
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-2676
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 SAWGRASS DR
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-2676
Country	:	US
Telephone Number	:	501-626-3579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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