Provider Demographics
NPI:1003360504
Name:RIGBY, ASHLEY LONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LONG
Last Name:RIGBY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:SUZETTE
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1188 HOUSTON MILL RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3833
Mailing Address - Country:US
Mailing Address - Phone:478-737-6412
Mailing Address - Fax:
Practice Address - Street 1:2155 N DECATUR RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5307
Practice Address - Country:US
Practice Address - Phone:404-638-6166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH029355183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist