Healthcare Provider Details

I. General information

NPI: 1184352635
Provider Name (Legal Business Name): DR. ASHLEY POGUE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 E LYON STATION RD
CREEDMOOR NC
27522-9112
US

IV. Provider business mailing address

2503 E LYON STATION RD
CREEDMOOR NC
27522-9112
US

V. Phone/Fax

Practice location:
  • Phone: 919-528-1535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP457021
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: