Provider Demographics
NPI:1790402048
Name:PATTON, MONICA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:PATTON
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 1:1287 OAK RIDGE TPKE
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6404
Mailing Address - Country:US
Mailing Address - Phone:865-483-4394
Mailing Address - Fax:865-483-5991
Practice Address - Street 1:1287 OAK RIDGE TPKE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6404
Practice Address - Country:US
Practice Address - Phone:865-483-4394
Practice Address - Fax:865-483-5991
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist