MEDICARE: PAMELA PARKER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	16894	AL
2	183500000X	Pharmacist	RPH-026123	GA

General Provider Information

NPI Number	:	1346661766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA PARKER PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 1848
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36831-1848
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4045 ATLANTA HWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-2920
Country	:	US
Telephone Number	:	334-260-7782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2014
Last Update Date	:	01/02/2014

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Directions to “ PAMELA PARKER PHARMD” Practice Location

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