Provider Demographics
NPI:1821366428
Name:SOWARDS, ALICE VICTORIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:VICTORIA
Last Name:SOWARDS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALICE
Other - Middle Name:VICTORIA
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2400 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-4627
Mailing Address - Country:US
Mailing Address - Phone:865-544-0123
Mailing Address - Fax:
Practice Address - Street 1:2400 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-4627
Practice Address - Country:US
Practice Address - Phone:865-544-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34313183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist