Provider Demographics
NPI:1487907564
Name:CHARFAUROS, ASHLEY NUGENT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NUGENT
Last Name:CHARFAUROS
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 1:1200 W. JACKSON BLVD.
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659
Mailing Address - Country:US
Mailing Address - Phone:423-753-9730
Mailing Address - Fax:423-753-4326
Practice Address - Street 1:1200 W. JACKSON BLVD.
Practice Address - Street 2:
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659
Practice Address - Country:US
Practice Address - Phone:423-753-9730
Practice Address - Fax:423-753-4326
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36576183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist