Provider Demographics
NPI:1992505788
Name:LADOSKI, ASHLEY NICHOLE (CPHT)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:NICHOLE
Last Name:LADOSKI
Suffix:
Gender:
Credentials:CPHT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NICHOLE
Other - Last Name:KEENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:62 N SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:NEWMANSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17073-9102
Mailing Address - Country:US
Mailing Address - Phone:717-809-4106
Mailing Address - Fax:
Practice Address - Street 1:331 N READING RD
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1652
Practice Address - Country:US
Practice Address - Phone:717-733-4052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30256041183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician