Basic Information
Provider Information
NPI: 1275554313
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPEER
FirstName: ASHLEY
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 304 RIVERSTONE BLVD
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372142552
CountryCode: US
TelephoneNumber: 6158849976
FaxNumber:  
Practice Location
Address1: 1310 24TH AVE S
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372122637
CountryCode: US
TelephoneNumber: 6153275335
FaxNumber: 6153216310
Other Information
ProviderEnumerationDate: 07/22/2006
LastUpdateDate: 08/20/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X11626TNY Pharmacy Service ProvidersPharmacist 

No ID Information.


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