Healthcare Provider Details

I. General information

NPI: 1972448330
Provider Name (Legal Business Name): ASHLEYS APOTHECARY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1743 142ND AVE STE 5
DORR MI
49323-8031
US

IV. Provider business mailing address

3271 22ND ST
HOPKINS MI
49328-9704
US

V. Phone/Fax

Practice location:
  • Phone: 616-262-0959
  • Fax:
Mailing address:
  • Phone: 616-262-0959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY JANE MILLER
Title or Position: PHARMACIST/OWNER
Credential: PHARM D
Phone: 616-262-0959