Provider Demographics
NPI:1770818551
Name:EARLY, AISLINN (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:AISLINN
Middle Name:
Last Name:EARLY
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 1:4701 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1233
Mailing Address - Country:US
Mailing Address - Phone:336-854-7827
Mailing Address - Fax:336-854-1397
Practice Address - Street 1:4701 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1233
Practice Address - Country:US
Practice Address - Phone:336-854-7827
Practice Address - Fax:336-854-1397
Is Sole Proprietor?:No
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19907183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0417973Medicaid
NC0417973Medicaid
NC0282933673Medicare NSC