MEDICARE: ASHLEY HOOVER 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	03233968	OH

General Provider Information

NPI Number	:	1871902148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY HOOVER PHARMD, RPH

Provider Business Mailing Address
First Line	:	9211 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2043
Country	:	US
Telephone Number	:	216-636-0760
Fax Number	:

Provider Business Practice Location Address
First Line	:	9211 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2043
Country	:	US
Telephone Number	:	216-636-0760
Fax Number	:

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

Provider Enumeration Date	:	08/12/2014
Last Update Date	:	10/26/2016

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