Provider Demographics
NPI:1194289504
Name:ASHBY, ELAINE ROTHMAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:ROTHMAN
Last Name:ASHBY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 HUMPHREY LN
Mailing Address - Street 2:
Mailing Address - City:FALLING WATERS
Mailing Address - State:WV
Mailing Address - Zip Code:25419-7036
Mailing Address - Country:US
Mailing Address - Phone:304-707-4365
Mailing Address - Fax:
Practice Address - Street 1:96 HUMPHREY LN
Practice Address - Street 2:
Practice Address - City:FALLING WATERS
Practice Address - State:WV
Practice Address - Zip Code:25419-7036
Practice Address - Country:US
Practice Address - Phone:304-707-4365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist