MEDICARE: DR. HOLLY ASHFORD PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	012908	KY

General Provider Information

NPI Number	:	1023775640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOLLY ASHFORD PHARM.D.

Provider Business Mailing Address
First Line	:	485 W 4TH ST
Second Line	:
City	:	RUSSELLVILLE
State	:	KY
Zip	:	42276-1324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	485 W 4TH ST
Second Line	:
City	:	RUSSELLVILLE
State	:	KY
Zip	:	42276-1324
Country	:	US
Telephone Number	:	270-651-0471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2021
Last Update Date	:	12/30/2022

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Directions to “ DR. HOLLY ASHFORD PHARM.D.” Practice Location

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