Provider Demographics
NPI:1225310824
Name:HOLLOWELL, AMBER LASHAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LASHAY
Last Name:HOLLOWELL
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 1:10932 MURDOCK DR STE A101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3239
Mailing Address - Country:US
Mailing Address - Phone:865-450-2380
Mailing Address - Fax:865-583-2992
Practice Address - Street 1:10932 MURDOCK DR STE A101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3239
Practice Address - Country:US
Practice Address - Phone:865-450-2380
Practice Address - Fax:865-583-2992
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33668183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist