Healthcare Provider Details

I. General information

NPI: 1033216239
Provider Name (Legal Business Name): JENNIFER ASHLEY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8234 AGORA PKWY
SELMA TX
78154-1304
US

IV. Provider business mailing address

26318 CUYAHOGA CIR
SAN ANTONIO TX
78260-3570
US

V. Phone/Fax

Practice location:
  • Phone: 210-945-9759
  • Fax:
Mailing address:
  • Phone: 210-481-7949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02778100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number28RI02778100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: