MEDICARE: ASHLEY HOPPER 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	12561	SC

General Provider Information

NPI Number	:	1851616957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY HOPPER PHARMD

Provider Business Mailing Address
First Line	:	221 3RD ST W BLDG 1040
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78150-4800
Country	:	US
Telephone Number	:	210-652-4843
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 3RD ST W BLDG 1040
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78150-4800
Country	:	US
Telephone Number	:	210-652-4843
Fax Number	:

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

Provider Enumeration Date	:	03/31/2010
Last Update Date	:	02/09/2024

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