Provider Demographics
NPI:1942615158
Name:STEWART, ASHLEY SHAYE (PHARM D)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SHAYE
Last Name:STEWART
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 1:811 PENDLETON ST STE 10
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3232
Mailing Address - Country:US
Mailing Address - Phone:864-551-4675
Mailing Address - Fax:
Practice Address - Street 1:311 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-2204
Practice Address - Country:US
Practice Address - Phone:864-223-7511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist