Provider Demographics
NPI:1982279592
Name:VICKERY, PAMELA BRITTANY (PHARMD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:BRITTANY
Last Name:VICKERY
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 1:841 CASE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-6503
Mailing Address - Country:US
Mailing Address - Phone:828-697-8422
Mailing Address - Fax:
Practice Address - Street 1:841 CASE ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-6503
Practice Address - Country:US
Practice Address - Phone:865-679-1785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7002821835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric