Healthcare Provider Details

I. General information

NPI: 1962329508
Provider Name (Legal Business Name): ASHTON PHILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 S 8TH ST
ROGERS AR
72756-5912
US

IV. Provider business mailing address

6004 S 37TH ST
ROGERS AR
72758-1624
US

V. Phone/Fax

Practice location:
  • Phone: 479-633-0802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD17027
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: