Provider Demographics
NPI:1669918256
Name:ALBANESE, PATRICK ANTHONY (PHARMD, MD, MBA, BS)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ANTHONY
Last Name:ALBANESE
Suffix:
Gender:M
Credentials:PHARMD, MD, MBA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 HWY 321 N
Mailing Address - Street 2:UNIT 600
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771
Mailing Address - Country:US
Mailing Address - Phone:321-591-5324
Mailing Address - Fax:321-362-7975
Practice Address - Street 1:875 HWY 321 N
Practice Address - Street 2:UNIT 600
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771
Practice Address - Country:US
Practice Address - Phone:321-591-5324
Practice Address - Fax:321-362-7975
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092390183500000X, 1835P1200X, 282N00000X
FLPSI31092183500000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist
No282N00000XHospitalsGeneral Acute Care Hospital