Provider Demographics
NPI:1710298732
Name:HEMBREE, AUDREY MICHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:MICHELLE
Last Name:HEMBREE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:
Other - Last Name:HEMBREE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:161 COUNTY ROAD 505
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37329-5232
Mailing Address - Country:US
Mailing Address - Phone:423-887-5055
Mailing Address - Fax:
Practice Address - Street 1:805 W MADISON AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-3429
Practice Address - Country:US
Practice Address - Phone:423-507-1494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist