Provider Demographics
NPI:1124450739
Name:PRICE, JAMIE LOIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LOIS
Last Name:PRICE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 NORTH BROADWAY STREET
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917
Mailing Address - Country:US
Mailing Address - Phone:865-525-4189
Mailing Address - Fax:865-525-9456
Practice Address - Street 1:2021 NORTH BROADWAY STREET
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917
Practice Address - Country:US
Practice Address - Phone:865-525-4189
Practice Address - Fax:865-525-9456
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
183700000X
TN37470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No183700000XPharmacy Service ProvidersPharmacy Technician