Provider Demographics
NPI:1891307757
Name:ASHBY, CASSANDRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:ASHBY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21283 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-6149
Mailing Address - Country:US
Mailing Address - Phone:276-210-0843
Mailing Address - Fax:
Practice Address - Street 1:1388 VOLUNTEER PKWY
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-5700
Practice Address - Country:US
Practice Address - Phone:423-274-0259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202218306183500000X
TN43617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist