Individual
ASHLEY STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
23477 W YUMA RD, BUCKEYE, AZ 85326-3103
(623) 337-9161
Mailing address
4200 N PEBBLE CREEK PKWY APT 1091, GOODYEAR, AZ 85395-9014
(804) 895-3435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023117
AZ
390200000X
Student in an Organized Health Care Education/Training Program
I013166
AZ
Other
Enumeration date
07/27/2017
Last updated
03/17/2018
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