Provider Demographics
NPI:1225382914
Name:PASCARELLA, PAMELA S (RPH)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:S
Last Name:PASCARELLA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1987 COTTON GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-5721
Mailing Address - Country:US
Mailing Address - Phone:336-357-2396
Mailing Address - Fax:
Practice Address - Street 1:1987 COTTON GROVE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-5721
Practice Address - Country:US
Practice Address - Phone:336-357-2396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist