Provider Demographics
NPI:1679197594
Name:ASHRAF, UMER (RPH)
Entity Type:Individual
Prefix:
First Name:UMER
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-4568
Mailing Address - Country:US
Mailing Address - Phone:706-633-3887
Mailing Address - Fax:
Practice Address - Street 1:225 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-4568
Practice Address - Country:US
Practice Address - Phone:706-633-3887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42456183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No183500000XPharmacy Service ProvidersPharmacist