Provider Demographics
NPI:1679150908
Name:BOND, ASHLEY (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:BOND
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 FRONT ST WEST
Mailing Address - Street 2:
Mailing Address - City:COEBURN
Mailing Address - State:VA
Mailing Address - Zip Code:24230
Mailing Address - Country:US
Mailing Address - Phone:276-202-3594
Mailing Address - Fax:276-395-3526
Practice Address - Street 1:517 FRONT ST WEST
Practice Address - Street 2:
Practice Address - City:COEBURN
Practice Address - State:VA
Practice Address - Zip Code:24230
Practice Address - Country:US
Practice Address - Phone:276-202-3594
Practice Address - Fax:276-395-3526
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist