Provider Demographics
NPI:1902535263
Name:SKILTON, AMELIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:SKILTON
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 1:418 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-2550
Mailing Address - Country:US
Mailing Address - Phone:419-281-0525
Mailing Address - Fax:419-281-8653
Practice Address - Street 1:418 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-2550
Practice Address - Country:US
Practice Address - Phone:419-281-0525
Practice Address - Fax:419-281-8653
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03236877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist