Healthcare Provider Details

I. General information

NPI: 1811093420
Provider Name (Legal Business Name): MICHAEL J ASHMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 MOUNT ROYAL BLVD
PITTSBURGH PA
15223-1046
US

IV. Provider business mailing address

915 MOUNT ROYAL BLVD
PITTSBURGH PA
15223-1046
US

V. Phone/Fax

Practice location:
  • Phone: 412-486-5200
  • Fax: 412-486-3335
Mailing address:
  • Phone: 412-486-5200
  • Fax: 412-486-3335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP410296L
License Number StatePA

VIII. Authorized Official

Name: MICHAEL ASHMORE
Title or Position: PRES
Credential: R.PH.
Phone: 412-486-5200