Individual
ASHLEY BASTASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1025 W NAVITUS DR, APPLETON, WI 54913-9017
(920) 221-4177
Mailing address
1025 W NAVITUS DR, APPLETON, WI 54913-9017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15594-40
WI
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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