Provider Demographics
NPI:1396135687
Name:LEWIS, ASHLEIGH (PHARMD)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:LEWIS
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:PO BOX 4304
Mailing Address - Street 2:557 MAIN STREET
Mailing Address - City:CHAPMANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25508-4304
Mailing Address - Country:US
Mailing Address - Phone:304-855-4764
Mailing Address - Fax:304-831-6001
Practice Address - Street 1:557 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CHAPMANVILLE
Practice Address - State:WV
Practice Address - Zip Code:25508-4304
Practice Address - Country:US
Practice Address - Phone:304-855-4764
Practice Address - Fax:304-831-6001
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016357183500000X
WV0007901183500000X
VA0202211956183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist