Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ASHLEY OTIS
Active Sole ProprietorASHLEY OTIS is a Long-Term Care Pharmacy healthcare provider located in CHUBBUCK, Idaho. NPI 1134711419 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · CHUBBUCK, ID
Registration Details
- NPI Number
- 1134711419
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2021 (5.5304376586715 yrs)
- Last Updated
- Feb 8, 2021
- License
-
P9227 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4257 YELLOWSTONE AVECHUBBUCK, ID, 832022419Browse ID providers · Browse ZIP 83202
- Phone
- 2082373940
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.