Provider Demographics
NPI:1992235303
Name:HIGDON, ASHTON (PHARMD)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:HIGDON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:SUZANNE
Other - Last Name:FRASURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 STEPHENS BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:KY
Mailing Address - Zip Code:41649-7844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 STEPHENS BRANCH RD
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:KY
Practice Address - Zip Code:41649-7844
Practice Address - Country:US
Practice Address - Phone:606-949-1349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY018816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist