Provider Demographics
NPI:1013568096
Name:LEE, ASHTON
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 E US HIGHWAY 74
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-7206
Mailing Address - Country:US
Mailing Address - Phone:910-582-3565
Mailing Address - Fax:
Practice Address - Street 1:720 E US HIGHWAY 74
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-7206
Practice Address - Country:US
Practice Address - Phone:910-582-3565
Practice Address - Fax:910-410-9041
Is Sole Proprietor?:No
Enumeration Date:2019-09-22
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist