Provider Demographics
NPI:1548693625
Name:BRENING, ASHLEY RENE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:RENE
Last Name:BRENING
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 1:6420 W DESERT HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-2412
Mailing Address - Country:US
Mailing Address - Phone:602-478-1906
Mailing Address - Fax:
Practice Address - Street 1:28516 N EL MIRAGE RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-2094
Practice Address - Country:US
Practice Address - Phone:623-215-8104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS020029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist