Provider Demographics
NPI:1528545662
Name:BLANKENSHIP, ASHLEY (RPH)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8022 WILKERSON RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:27231-9316
Mailing Address - Country:US
Mailing Address - Phone:919-452-3735
Mailing Address - Fax:
Practice Address - Street 1:904 S FIFTH ST
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-3239
Practice Address - Country:US
Practice Address - Phone:919-563-8855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-22
Last Update Date:2018-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27908183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist