Provider Demographics
NPI:1407317563
Name:GERWIN, ANDREA MCNALLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MCNALLEY
Last Name:GERWIN
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 1:300 E BROW RD
Mailing Address - Street 2:
Mailing Address - City:LOOKOUT MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37350-1212
Mailing Address - Country:US
Mailing Address - Phone:205-492-5453
Mailing Address - Fax:
Practice Address - Street 1:975 E 3RD ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2147
Practice Address - Country:US
Practice Address - Phone:423-778-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000345201835C0205X, 1835N1003X, 1835P2201X, 1835P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0200XPharmacy Service ProvidersPharmacistPediatrics
No1835C0205XPharmacy Service ProvidersPharmacistCritical Care
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care