Provider Demographics
NPI:1609915651
Name:PACE, VIRGINIA DEANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:DEANNE
Last Name:PACE
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 1:442 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-1678
Mailing Address - Country:US
Mailing Address - Phone:731-968-4201
Mailing Address - Fax:731-967-9109
Practice Address - Street 1:148 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-2069
Practice Address - Country:US
Practice Address - Phone:731-968-4201
Practice Address - Fax:731-967-9109
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN96411835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy