MEDICARE: ASHLEY SAVAGE 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	0202211568	VA

General Provider Information

NPI Number	:	1225373442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY SAVAGE PHARM D.

Provider Business Mailing Address
First Line	:	3252 PAGE AVE
Second Line	:	APARTMENT 103
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-1066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N MILITARY HWY
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-2227
Country	:	US
Telephone Number	:	757-461-6462
Fax Number	:

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

Provider Enumeration Date	:	11/28/2012
Last Update Date	:	11/28/2012

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