MEDICARE: DR. ASHLEY LYNNE HADDIX 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
1	183500000X	Pharmacist	19077	MD

General Provider Information

NPI Number	:	1346516382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY LYNNE HADDIX PHARMD

Provider Business Mailing Address
First Line	:	10010 FRANKFORT HWY
Second Line	:
City	:	FORT ASHBY
State	:	WV
Zip	:	26719-9277
Country	:	US
Telephone Number	:	304-298-4557
Fax Number	:	304-298-4259

Provider Business Practice Location Address
First Line	:	10010 FRANKFORT HWY
Second Line	:
City	:	FORT ASHBY
State	:	WV
Zip	:	26719-9277
Country	:	US
Telephone Number	:	304-298-4557
Fax Number	:	304-298-4259

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

Provider Enumeration Date	:	03/23/2012
Last Update Date	:	02/09/2017

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