Provider Demographics
NPI:1174896716
Name:DURHAM, ASHLEY M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:M
Last Name:DURHAM
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 1:8921 W HACKAMORE DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709
Mailing Address - Country:US
Mailing Address - Phone:208-994-4123
Mailing Address - Fax:800-431-6309
Practice Address - Street 1:8921 W HACKAMORE DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709
Practice Address - Country:US
Practice Address - Phone:208-994-4123
Practice Address - Fax:800-431-6309
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP67061835P1200X
KS1-137911835P1200X
IDP-6706183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy