Healthcare Provider Details

I. General information

NPI: 1538444013
Provider Name (Legal Business Name): ELIZABETH S DODDS ASHLEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 10/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVENUE BOX 638
ROCHESTER NY
14642
US

IV. Provider business mailing address

601 ELMWOOD AVENUE BOX 638
ROCHESTER NY
14642
US

V. Phone/Fax

Practice location:
  • Phone: 585-276-4537
  • Fax: 585-756-5582
Mailing address:
  • Phone: 585-276-4537
  • Fax: 585-756-5582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number052656I
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: