Provider Demographics
NPI:1962185256
Name:DASS, ASHLI ASHISH (RPH)
Entity type:Individual
Prefix:DR
First Name:ASHLI
Middle Name:ASHISH
Last Name:DASS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4089 63RD ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-3243
Mailing Address - Country:US
Mailing Address - Phone:916-254-8199
Mailing Address - Fax:
Practice Address - Street 1:4089 63RD ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-3243
Practice Address - Country:US
Practice Address - Phone:916-254-8199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist