Healthcare Provider Details

I. General information

NPI: 1700794963
Provider Name (Legal Business Name): ASHLEY LOMINY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 S CYPRESS RD
POMPANO BEACH FL
33060-7135
US

IV. Provider business mailing address

411 S CYPRESS RD
POMPANO BEACH FL
33060-7135
US

V. Phone/Fax

Practice location:
  • Phone: 954-784-3284
  • Fax: 954-784-3286
Mailing address:
  • Phone: 954-784-3284
  • Fax: 954-784-3286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71180
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: