MEDICARE: ASHTON PHARMACY

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	333600000X	Pharmacy	PP410088L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811099245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHTON PHARMACY

Provider Business Mailing Address
First Line	:	9035 ASHTON RD
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19136
Country	:	US
Telephone Number	:	215-673-9494
Fax Number	:	215-673-9705

Provider Business Practice Location Address
First Line	:	9035 ASHTON RD
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19136
Country	:	US
Telephone Number	:	215-673-9494
Fax Number	:	215-673-9705

Authorized Official
Title or Position	:	OWNER PHARMACIST
Name	:	MR. JAY A GARBER
Credential	:	RPH
Telephone Number	:	215-673-9494

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	06/30/2008

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Directions to “ASHTON PHARMACY ” Practice Location

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