Provider Demographics
NPI:1568494862
Name:SCOTT, MOLLIE ASHE (PHARMD, BCPS, CPP)
Entity Type:Individual
Prefix:
First Name:MOLLIE
Middle Name:ASHE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHARMD, BCPS, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 WT WEAVER BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3415
Mailing Address - Country:US
Mailing Address - Phone:828-257-4467
Mailing Address - Fax:828-257-4738
Practice Address - Street 1:118 WT WEAVER BLVD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3415
Practice Address - Country:US
Practice Address - Phone:828-257-4467
Practice Address - Fax:828-257-4738
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC120881835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12088OtherLICENSE