Provider Demographics
NPI:1467594655
Name:FRIEDLE, GAYLE E (RPH)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:E
Last Name:FRIEDLE
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 1:920 GLENSPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5225
Mailing Address - Country:US
Mailing Address - Phone:865-470-8851
Mailing Address - Fax:
Practice Address - Street 1:11424 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-3915
Practice Address - Country:US
Practice Address - Phone:865-966-9728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist