Doctor Name: | FREDRIC GUY LOVELACE |
NPI Number: | 1821377144 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPH |
License Number: | C1732 |
Business Practice Address: | 2111 Highway 72 N Loudon, TN - 377745719 |
Business Phone Number: | 8654586241 |
Business Fax Number: | 8654589241 |
Mailing Address: | 34693 Highway 72 N, LOUDON |
State: | TN |
Postal Code: | 377745242 |
Phone Number: | 8654585606 |
Fax Number: | 8654589241 |
NPI Enumeration Date: | 08/04/2011 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | C1732 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |