Provider Demographics
NPI:1487939906
Name:ASHBY, JENNIFER KATRINA (PHARMD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KATRINA
Last Name:ASHBY
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 1:692 CLOVER DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015-2305
Mailing Address - Country:US
Mailing Address - Phone:724-712-3291
Mailing Address - Fax:
Practice Address - Street 1:8193 MALL RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1413
Practice Address - Country:US
Practice Address - Phone:859-525-6230
Practice Address - Fax:859-525-8623
Is Sole Proprietor?:No
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014852183500000X
IN26023495A183500000X
OH03129982183500000X
AZS014288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist