Provider Demographics
NPI:1306143409
Name:COCKERILL, ASHLEY LEANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LEANN
Last Name:COCKERILL
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 1:413 N FLAT ROCK RD
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-9567
Mailing Address - Country:US
Mailing Address - Phone:864-770-3498
Mailing Address - Fax:
Practice Address - Street 1:106 HIGHWAY 28 BYP
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29624-3742
Practice Address - Country:US
Practice Address - Phone:864-296-5208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12644183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist