Provider Demographics
NPI:1003100264
Name:DICKERSON, ASHLEY PARKER (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:PARKER
Last Name:DICKERSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:ELIZABETH
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2600 HOLCOMB BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5305
Mailing Address - Country:US
Mailing Address - Phone:678-775-7621
Mailing Address - Fax:678-775-7631
Practice Address - Street 1:2600 HOLCOMB BRIDGE RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5305
Practice Address - Country:US
Practice Address - Phone:678-775-7621
Practice Address - Fax:678-775-7631
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist