Provider Demographics
NPI:1437430139
Name:KIMBRELL, CASSANDRA AUMAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:AUMAN
Last Name:KIMBRELL
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 1:349 KINSTON HWY
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-6420
Mailing Address - Country:US
Mailing Address - Phone:910-324-6524
Mailing Address - Fax:
Practice Address - Street 1:349 KINSTON HWY
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28574-6420
Practice Address - Country:US
Practice Address - Phone:910-324-6524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16328183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist