Healthcare Provider Details

I. General information

NPI: 1114930831
Provider Name (Legal Business Name): ASHLEY B SMITH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6439 GARNERS FERRY ROAD BLUE TEAM 1D175
COLUMBIA SC
29209
US

IV. Provider business mailing address

6439 GARNERS FERRY ROAD BLUE TEAM 1D175
COLUMBIA SC
29209
US

V. Phone/Fax

Practice location:
  • Phone: 803-776-4000
  • Fax:
Mailing address:
  • Phone: 803-776-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number011099
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number11099
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: