Provider Demographics
NPI:1619508215
Name:ASHU, EILEEN H
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:H
Last Name:ASHU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6516 LANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1445
Mailing Address - Country:US
Mailing Address - Phone:301-773-3355
Mailing Address - Fax:301-583-9846
Practice Address - Street 1:6516 LANDOVER RD
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1445
Practice Address - Country:US
Practice Address - Phone:301-773-3355
Practice Address - Fax:301-583-9846
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-01
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty