Healthcare Provider Details

I. General information

NPI: 1992379663
Provider Name (Legal Business Name): ASHLEY ANN BURKE PHARMD CANDIDATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2021
Last Update Date: 05/18/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3923 N FLOWING WELLS RD
TUCSON AZ
85705-2451
US

IV. Provider business mailing address

898 E MILLENIUM CT
TUCSON AZ
85719-6810
US

V. Phone/Fax

Practice location:
  • Phone: 520-887-4422
  • Fax: 520-292-6152
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI023786
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: