Healthcare Provider Details

I. General information

NPI: 1114371952
Provider Name (Legal Business Name): ASHLEY TRAMMELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 PERRY HILL RD
MONTGOMERY AL
36109-3725
US

IV. Provider business mailing address

547 CLOVERDALE RD
MONTGOMERY AL
36106-1803
US

V. Phone/Fax

Practice location:
  • Phone: 256-679-2841
  • Fax:
Mailing address:
  • Phone: 256-679-2841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16860
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: