Healthcare Provider Details

I. General information

NPI: 1083523112
Provider Name (Legal Business Name): ASHLEY WIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MARKET ST
YOUNGSTOWN OH
44512-6725
US

IV. Provider business mailing address

6116 CIRCLE DR
YOUNGSTOWN OH
44514-1867
US

V. Phone/Fax

Practice location:
  • Phone: 330-729-2929
  • Fax:
Mailing address:
  • Phone: 330-501-8493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03446775
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: