Provider Demographics
NPI:1669775706
Name:PAIRMORE, PAULA R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:R
Last Name:PAIRMORE
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 1:139 WESLEY REED DRIVE STE F
Mailing Address - Street 2:
Mailing Address - City:ATOKA
Mailing Address - State:TN
Mailing Address - Zip Code:38004
Mailing Address - Country:US
Mailing Address - Phone:901-837-8801
Mailing Address - Fax:901-837-8802
Practice Address - Street 1:139 WESLEY REED DR STE F
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:TN
Practice Address - Zip Code:38004-4918
Practice Address - Country:US
Practice Address - Phone:901-837-8801
Practice Address - Fax:901-837-8802
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist