Provider Demographics
NPI:1174064695
Name:BARBO, ASHLEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:BARBO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 TOWER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5783
Mailing Address - Country:US
Mailing Address - Phone:318-966-6290
Mailing Address - Fax:318-966-6294
Practice Address - Street 1:2600 TOWER DR STE 102
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5783
Practice Address - Country:US
Practice Address - Phone:318-966-6290
Practice Address - Fax:318-966-6294
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.018362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist