Healthcare Provider Details

I. General information

NPI: 1174050413
Provider Name (Legal Business Name): ASHLEY N HURT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 07/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2474 STRINGTOWN RD
GROVE CITY OH
43123-3929
US

IV. Provider business mailing address

2474 STRINGTOWN RD
GROVE CITY OH
43123-3929
US

V. Phone/Fax

Practice location:
  • Phone: 614-875-0596
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03129803-1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: