Healthcare Provider Details

I. General information

NPI: 1639333297
Provider Name (Legal Business Name): ASHLEIGH NEKOAL JOSEPH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 01/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 BRUCE B DOWNS BLVD PHARMACY SERVICE 119
TAMPA FL
33612-4745
US

IV. Provider business mailing address

13000 BRUCE B DOWNS BLVD PHARMACY SERVICE 119
TAMPA FL
33612-4745
US

V. Phone/Fax

Practice location:
  • Phone: 813-780-2550
  • Fax:
Mailing address:
  • Phone: 813-780-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS42867
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: