Individual
ANSLEY DIRST OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
333 REVOLUTIONARY TRL, FAIRFAX, SC 29827-7109
(803) 632-1951
Mailing address
641 PARKER RD, SYLVANIA, GA 30467-5179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67770
SC
183500000X
Pharmacist
RPH035216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67770
SOUTH CAROLINA BOARD OF PHARMACY
SC
01
—
RPH035216
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
06/03/2026
Last updated
06/12/2026
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