Provider Demographics
NPI:1801135819
Name:LEGGETT, ASHLEY POWELL (PHARMD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:POWELL
Last Name:LEGGETT
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 1:307 WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-2145
Mailing Address - Country:US
Mailing Address - Phone:252-714-8645
Mailing Address - Fax:
Practice Address - Street 1:307 WEST BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2145
Practice Address - Country:US
Practice Address - Phone:252-714-8645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist