Ashley Mary Walton, DOCTOR OF PHARMACY

Individual provider Active NPI Pharmacist · Ely, MN

NPI 1457778029 · NPPES record last updated Mar 21, 2014

Key facts

NPI
1457778029
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
121314 (MN)
Practice address
1500 E Sheridan St
Ely, MN 55731-1855
Phone
(218) 365-7123
Fax
(218) 365-7124
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
121314MNMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 121314 MN Yes

Addresses

Primary practice location

1500 E Sheridan St
Ely, MN 55731-1855

Mailing address

227 E Conan St
Ely, MN 55731-1436
Phone (651) 587-2118

Other providers in Ely, MN

All providers in Ely, MN · Pharmacist in Minnesota

Sources for this page

Verify at the official NPI Registry.