Provider Demographics
NPI:1508983305
Name:RICH, PAMELA COLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:COLEY
Last Name:RICH
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 1:611 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-1136
Mailing Address - Country:US
Mailing Address - Phone:252-937-4701
Mailing Address - Fax:252-937-1893
Practice Address - Street 1:720 SUTTERS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8429
Practice Address - Country:US
Practice Address - Phone:252-937-4701
Practice Address - Fax:252-937-1893
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist