Provider Demographics
NPI:1811146277
Name:PRATT, DENISE M (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:M
Last Name:PRATT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6005 PARK AVE
Mailing Address - Street 2:STE 630B
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5202
Mailing Address - Country:US
Mailing Address - Phone:901-821-8330
Mailing Address - Fax:901-821-8350
Practice Address - Street 1:6005 PARK AVE
Practice Address - Street 2:STE 630B
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5202
Practice Address - Country:US
Practice Address - Phone:901-821-8330
Practice Address - Fax:901-821-8350
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist