Provider Demographics
NPI:1770884348
Name:AMAKIL, ASHLEY (PHARM-D)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:AMAKIL
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 1:11H COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-3113
Mailing Address - Country:US
Mailing Address - Phone:973-812-5295
Mailing Address - Fax:
Practice Address - Street 1:11H COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-3113
Practice Address - Country:US
Practice Address - Phone:973-812-5295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03325000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist