Healthcare Provider Details

I. General information

NPI: 1124450739
Provider Name (Legal Business Name): JAMIE LOIS PRICE PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 01/14/2020
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 NORTH BROADWAY STREET
KNOXVILLE TN
37917
US

IV. Provider business mailing address

2021 NORTH BROADWAY STREET
KNOXVILLE TN
37917
US

V. Phone/Fax

Practice location:
  • Phone: 865-525-4189
  • Fax: 865-525-9456
Mailing address:
  • Phone: 865-525-4189
  • Fax: 865-525-9456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37470
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: