Individual
MR. GARY ALLEN ASHCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
309 RUBENS CIR, MARTINSBURG, WV 25403-8396
(352) 396-2126
Mailing address
309 RUBENS CIR, MARTINSBURG, WV 25403-8396
(352) 396-2126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS35814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202204491
LICENSE NUMBER
VA
01
—
RP0005734
LICENSE NUMBER
WV
Enumeration date
05/27/2009
Last updated
10/08/2012
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