Healthcare Provider Details

I. General information

NPI: 1053854950
Provider Name (Legal Business Name): ASHLEY BROOKE SAVIO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2016
Last Update Date: 11/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 DOLBEER ST
EUREKA CA
95501-4736
US

IV. Provider business mailing address

2700 DOLBEER ST
EUREKA CA
95501-4736
US

V. Phone/Fax

Practice location:
  • Phone: 707-445-8121
  • Fax: 707-269-3731
Mailing address:
  • Phone: 707-445-8121
  • Fax: 707-269-3731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number75417
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: