Healthcare Provider Details

I. General information

NPI: 1205287232
Provider Name (Legal Business Name): ASHLEY ZUREK PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY KILGORE

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 06/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 RIVIERA DR
SAN ANTONIO TX
78213-3342
US

IV. Provider business mailing address

104 RIVIERA DR
SAN ANTONIO TX
78213-3342
US

V. Phone/Fax

Practice location:
  • Phone: 956-454-5848
  • Fax:
Mailing address:
  • Phone: 956-454-5848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number55046
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: