Provider Demographics
NPI:1336992668
Name:ASHLEY, HADASSAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:HADASSAH
Middle Name:
Last Name:ASHLEY
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 1:3485 HIGHLAND PINE DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3714
Mailing Address - Country:US
Mailing Address - Phone:678-437-0726
Mailing Address - Fax:
Practice Address - Street 1:2635 PLEASANT HILL RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1471
Practice Address - Country:US
Practice Address - Phone:770-418-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH034773183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist