Provider Demographics
NPI:1538752894
Name:SEITZ-GAROFOLO, ASHLEY ROSE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ROSE
Last Name:SEITZ-GAROFOLO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 SE MAJESTIC TER
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3745
Mailing Address - Country:US
Mailing Address - Phone:772-201-4844
Mailing Address - Fax:
Practice Address - Street 1:419 SE MAJESTIC TER
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-3745
Practice Address - Country:US
Practice Address - Phone:772-201-4844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL61655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist