Provider Demographics
NPI:1811327893
Name:ASMER, MIA BRITTNIE (PHARMD)
Entity type:Individual
Prefix:
First Name:MIA
Middle Name:BRITTNIE
Last Name:ASMER
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 1:2323 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-1238
Mailing Address - Country:US
Mailing Address - Phone:864-233-9401
Mailing Address - Fax:
Practice Address - Street 1:2323 E NORTH ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-1238
Practice Address - Country:US
Practice Address - Phone:864-233-9401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist