Healthcare Provider Details

I. General information

NPI: 1497622435
Provider Name (Legal Business Name): PAMELA LLOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 BAKER HWY UNIT 1
HUNTSVILLE TN
37756-4169
US

IV. Provider business mailing address

950 BAKER HWY UNIT 1
HUNTSVILLE TN
37756-4169
US

V. Phone/Fax

Practice location:
  • Phone: 423-663-9355
  • Fax: 423-663-3992
Mailing address:
  • Phone: 423-663-9355
  • Fax: 423-663-3992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number81937
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: