MEDICARE: DR. BRENT ALLEN ASHTON PHARMD, 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	03439067	OH

General Provider Information

NPI Number	:	1821631110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENT ALLEN ASHTON PHARMD, RPH

Provider Business Mailing Address
First Line	:	5815 SECOR RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-1421
Country	:	US
Telephone Number	:	419-472-8615
Fax Number	:	419-472-8633

Provider Business Practice Location Address
First Line	:	5815 SECOR RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-1421
Country	:	US
Telephone Number	:	419-472-8615
Fax Number	:	419-472-8633

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

Provider Enumeration Date	:	10/20/2019
Last Update Date	:	10/20/2019

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