Provider Demographics
NPI:1578164901
Name:STOKES, PAMELA EAVES (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:EAVES
Last Name:STOKES
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 1:813 MUIRFIELD TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8981
Mailing Address - Country:US
Mailing Address - Phone:859-263-0526
Mailing Address - Fax:
Practice Address - Street 1:2350 GREY LAG WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2477
Practice Address - Country:US
Practice Address - Phone:859-263-0526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist