Provider Demographics
NPI:1356830459
Name:PINNER, LEA ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEA ANN
Middle Name:
Last Name:PINNER
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 1:2165 HIGHWAY 54 E
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-7129
Mailing Address - Country:US
Mailing Address - Phone:901-237-9262
Mailing Address - Fax:
Practice Address - Street 1:201 LANNY BRIDGES AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-1615
Practice Address - Country:US
Practice Address - Phone:901-476-4648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist