Provider Demographics
NPI:1487095014
Name:DRIDI, ASHLEY (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:DRIDI
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 1:10155 MONTAGUE ST
Mailing Address - Street 2:#2902
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1857
Mailing Address - Country:US
Mailing Address - Phone:727-565-3347
Mailing Address - Fax:
Practice Address - Street 1:10155 MONTAGUE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1857
Practice Address - Country:US
Practice Address - Phone:727-565-3347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54154183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist