Provider Demographics
NPI:1760768980
Name:PRELL, TAMMY LANHAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:LANHAM
Last Name:PRELL
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 1:2381 HELENA RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-4207
Mailing Address - Country:US
Mailing Address - Phone:205-663-5574
Mailing Address - Fax:
Practice Address - Street 1:2381 HELENA RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-4207
Practice Address - Country:US
Practice Address - Phone:205-663-5574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist