Healthcare Provider Details

I. General information

NPI: 1003850785
Provider Name (Legal Business Name): ASHLAND PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83074 HIGHWAY 9 83074 HWY 9
ASHLAND AL
36251-7975
US

IV. Provider business mailing address

PO BOX 487
ASHLAND AL
36251-0487
US

V. Phone/Fax

Practice location:
  • Phone: 256-354-2166
  • Fax: 256-354-2168
Mailing address:
  • Phone: 256-354-2166
  • Fax: 256-354-2168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number101240
License Number StateAL

VIII. Authorized Official

Name: PHYLLIS HUBBARD
Title or Position: BOOKKEEPER
Credential: BOOKKEEPER
Phone: 256-354-2166