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NPI Code Detail

MEDICARE: MS. HEATHER J ASHMUS PHARMD

MEDICARE: MS. HEATHER J ASHMUS PHARMD
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
1183500000XPharmacist15360-040WI

General Provider Information

NPI Number : 1194161893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER J ASHMUS PHARMD
Provider Business Mailing Address
First Line : 4801 WASHINGTON AVE
Second Line :
City : RACINE
State : WI
Zip : 53406-4219
Country : US
Telephone Number : 262-637-8444
Fax Number : 262-637-0752
Provider Business Practice Location Address
First Line : 4801 WASHINGTON AVE
Second Line :
City : RACINE
State : WI
Zip : 53406-4219
Country : US
Telephone Number : 262-637-8444
Fax Number : 262-637-0752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2013
Last Update Date : 05/21/2013

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