Basic Information
| Provider Information | |||||||||
| NPI: | 1568494862 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCOTT | ||||||||
| FirstName: | MOLLIE | ||||||||
| MiddleName: | ASHE | ||||||||
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| Credential: | PHARM.D., BCPS, CPP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 118 WT WEAVER BLVD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288043415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282574467 | ||||||||
| FaxNumber: | 8282574738 | ||||||||
| Practice Location | |||||||||
| Address1: | 118 WT WEAVER BLVD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288043415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282574467 | ||||||||
| FaxNumber: | 8282574738 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 12088 | NC | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
ID Information
| ID | Type | State | Issuer | Description | 12088 | 01 | NC | LICENSE | OTHER |