Provider Demographics
NPI:1992036743
Name:HITTLE, ASHLEY (PHARM D)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:HITTLE
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 1:840 S ALMA SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-2001
Mailing Address - Country:US
Mailing Address - Phone:480-461-1193
Mailing Address - Fax:480-461-1272
Practice Address - Street 1:840 S ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-2001
Practice Address - Country:US
Practice Address - Phone:480-461-1193
Practice Address - Fax:480-461-1272
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS015987183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist