Provider Demographics
NPI:1720854284
Name:LEDFORD, NILA GOODSON (PHARMD)
Entity Type:Individual
Prefix:
First Name:NILA
Middle Name:GOODSON
Last Name:LEDFORD
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 1:409 E PINE HILL LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-3023
Mailing Address - Country:US
Mailing Address - Phone:828-974-1288
Mailing Address - Fax:
Practice Address - Street 1:915 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2304
Practice Address - Country:US
Practice Address - Phone:828-255-8949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist