Provider Demographics
NPI:1255343059
Name:FARR, ALICE KAY (R PH)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:KAY
Last Name:FARR
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:321 WOODLAND TRACE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1723
Mailing Address - Country:US
Mailing Address - Phone:865-966-7853
Mailing Address - Fax:865-675-0789
Practice Address - Street 1:601 N CAMPBELL STATION RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1628
Practice Address - Country:US
Practice Address - Phone:865-675-2061
Practice Address - Fax:865-675-0789
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist