Provider Demographics
NPI:1417202961
Name:COLEMAN, ASHLEY (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LEA ANN LN
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-7201
Mailing Address - Country:US
Mailing Address - Phone:910-892-8326
Mailing Address - Fax:
Practice Address - Street 1:2203 WAYNE MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1723
Practice Address - Country:US
Practice Address - Phone:919-731-7105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist