Provider Demographics
NPI:1417743634
Name:ASKK LLC
Entity type:Organization
Organization Name:ASKK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHUNNA
Authorized Official - Middle Name:EBERECHI
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:336-830-8774
Mailing Address - Street 1:3085 WAUGHTOWN ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-1634
Mailing Address - Country:US
Mailing Address - Phone:336-830-8774
Mailing Address - Fax:336-830-8775
Practice Address - Street 1:3085 WAUGHTOWN ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-1634
Practice Address - Country:US
Practice Address - Phone:336-830-8774
Practice Address - Fax:336-830-8775
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASKK LLC DBA SOUTHSIDE DISCOUNT PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy