Provider Demographics
NPI:1366707358
Name:CARTER, ASHLYN BROOKE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ASHLYN
Middle Name:BROOKE
Last Name:CARTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ASHLYN
Other - Middle Name:BROOKE
Other - Last Name:BOZEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5950 STATE BRIDGE RD
Mailing Address - Street 2:T-0749
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-6438
Mailing Address - Country:US
Mailing Address - Phone:678-258-1000
Mailing Address - Fax:678-713-3609
Practice Address - Street 1:5950 STATE BRIDGE RD
Practice Address - Street 2:T-0749
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-6438
Practice Address - Country:US
Practice Address - Phone:678-258-1000
Practice Address - Fax:678-713-3609
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH026733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist