Provider Demographics
NPI:1194092189
Name:SAWAH, ASHLEY (PHARM D)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SAWAH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27131 WINGED ELM DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7774
Mailing Address - Country:US
Mailing Address - Phone:813-210-1822
Mailing Address - Fax:
Practice Address - Street 1:1201 COUNTY ROAD 581
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9261
Practice Address - Country:US
Practice Address - Phone:813-210-1822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-19
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46743183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist