Provider Demographics
NPI:1891954426
Name:ESTES, TAMMY LYNN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LYNN
Last Name:ESTES
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 1:4715 NINE MILE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-4908
Mailing Address - Country:US
Mailing Address - Phone:804-226-9388
Mailing Address - Fax:804-222-2773
Practice Address - Street 1:4715 NINE MILE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-4908
Practice Address - Country:US
Practice Address - Phone:804-226-9388
Practice Address - Fax:804-222-2773
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50015183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4810900Medicaid
VA1396776415OtherNPI