Provider Demographics
NPI:1174156293
Name:ASHFORD, NESHAE (PHARMD)
Entity type:Individual
Prefix:
First Name:NESHAE
Middle Name:
Last Name:ASHFORD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NESHAE
Other - Middle Name:S
Other - Last Name:ASHFORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8510 PROSSER WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-1021
Mailing Address - Country:US
Mailing Address - Phone:803-391-2123
Mailing Address - Fax:
Practice Address - Street 1:1318 MEBANE OAKS RD
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-9681
Practice Address - Country:US
Practice Address - Phone:919-304-0171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29344183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist