Provider Demographics
NPI:1952638744
Name:MOREHEAD, ANDREA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:MOREHEAD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:863 BREVARD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2205
Mailing Address - Country:US
Mailing Address - Phone:828-667-4636
Mailing Address - Fax:828-667-5148
Practice Address - Street 1:863 BREVARD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2205
Practice Address - Country:US
Practice Address - Phone:828-667-4636
Practice Address - Fax:828-667-5148
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist