Provider Demographics
NPI:1861878803
Name:TRAMMELL, CHELSEY (PHARMD)
Entity type:Individual
Prefix:MS
First Name:CHELSEY
Middle Name:
Last Name:TRAMMELL
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 1:2000 GERSTNER MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-8060
Mailing Address - Country:US
Mailing Address - Phone:337-439-7114
Mailing Address - Fax:
Practice Address - Street 1:2000 GERSTNER MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601
Practice Address - Country:US
Practice Address - Phone:337-439-7114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA023894183500000X
LAPST.022362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist