Healthcare Provider Details

I. General information

NPI: 1598745473
Provider Name (Legal Business Name): CATHERINE LEE ASHBY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 W IRON SPRINGS RD SUITE G
PRESCOTT AZ
86305-1614
US

IV. Provider business mailing address

2970 BROOKS RANGE
PRESCOTT AZ
86301-6684
US

V. Phone/Fax

Practice location:
  • Phone: 928-708-0025
  • Fax: 928-708-0288
Mailing address:
  • Phone: 928-445-1167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12631
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: