Provider Demographics
NPI:1346512928
Name:SINCLAIR, CARRIE DIANE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:DIANE
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:DIANE
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:300 MARKET DR
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771-6458
Mailing Address - Country:US
Mailing Address - Phone:865-986-7032
Mailing Address - Fax:865-986-8991
Practice Address - Street 1:300 MARKET DR
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-6458
Practice Address - Country:US
Practice Address - Phone:865-986-7032
Practice Address - Fax:865-986-8991
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist