Provider Demographics
NPI:1366617409
Name:ASHUNTANTANG, HELEN AYUK (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:AYUK
Last Name:ASHUNTANTANG
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 1:4130 E WT HARRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-1990
Mailing Address - Country:US
Mailing Address - Phone:704-535-5960
Mailing Address - Fax:704-535-4829
Practice Address - Street 1:4130 E WT HARRIS BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-1990
Practice Address - Country:US
Practice Address - Phone:704-535-5960
Practice Address - Fax:704-535-4829
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18437183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist