Provider Demographics
NPI:1487382495
Name:HERBST, ASHLEY RENEE (PHARMD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENEE
Last Name:HERBST
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 1:3565 FOX CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:MO
Mailing Address - Zip Code:63013-1632
Mailing Address - Country:US
Mailing Address - Phone:314-541-8644
Mailing Address - Fax:
Practice Address - Street 1:601 E HWY 28
Practice Address - Street 2:
Practice Address - City:OWENSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65066
Practice Address - Country:US
Practice Address - Phone:573-437-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO22022027372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist