Provider Demographics
NPI:1154888584
Name:ASANTE, RICHMOND K (PHARMACIST)
Entity type:Individual
Prefix:
First Name:RICHMOND
Middle Name:K
Last Name:ASANTE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 S POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28337-5073
Mailing Address - Country:US
Mailing Address - Phone:910-247-3026
Mailing Address - Fax:910-247-3022
Practice Address - Street 1:403 S POPLAR ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NC
Practice Address - Zip Code:28337-5073
Practice Address - Country:US
Practice Address - Phone:910-247-3026
Practice Address - Fax:910-247-3022
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1518364827OtherNA