Provider Demographics
NPI:1720810161
Name:BEVERLEY, ASPEN HIGGINS (PHARMD)
Entity type:Individual
Prefix:
First Name:ASPEN
Middle Name:HIGGINS
Last Name:BEVERLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ASPEN
Other - Middle Name:
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14662 N US HIGHWAY 25 E
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-6425
Mailing Address - Country:US
Mailing Address - Phone:606-526-9005
Mailing Address - Fax:
Practice Address - Street 1:14662 N US HIGHWAY 25 E
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-6425
Practice Address - Country:US
Practice Address - Phone:606-526-9005
Practice Address - Fax:606-526-0301
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47596183500000X
KY0235351835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist