MEDICARE: KATIE LEIGH ASKEW RPH

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	PS49208	FL

General Provider Information

NPI Number	:	1164001871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE LEIGH ASKEW RPH

Provider Business Mailing Address
First Line	:	2104 TWIN LAKES DR
Second Line	:
City	:	BAINBRIDGE
State	:	GA
Zip	:	39819-5276
Country	:	US
Telephone Number	:	229-726-0562
Fax Number	:

Provider Business Practice Location Address
First Line	:	11049 NW STATE ROAD 20
Second Line	:
City	:	BRISTOL
State	:	FL
Zip	:	32321-6406
Country	:	US
Telephone Number	:	850-643-5454
Fax Number	:

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

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	04/08/2021

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Directions to “ KATIE LEIGH ASKEW RPH” Practice Location

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