Provider Demographics
NPI:1447023320
Name:HENDRICK, ASHLEY LOUISE (PHARMD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LOUISE
Last Name:HENDRICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LOUISE
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:4913 RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-9630
Mailing Address - Country:US
Mailing Address - Phone:607-379-2222
Mailing Address - Fax:
Practice Address - Street 1:3114 RAEFORD RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5378
Practice Address - Country:US
Practice Address - Phone:910-321-0114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070936183500000X
NC32687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist