Provider Demographics
NPI:1912480872
Name:LY, ASHLEY CHUFA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:CHUFA
Last Name:LY
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 1:10506 ALVARADO WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3435
Mailing Address - Country:US
Mailing Address - Phone:607-346-4907
Mailing Address - Fax:
Practice Address - Street 1:4908 HOUSTON FIELD CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4803
Practice Address - Country:US
Practice Address - Phone:704-814-0212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist