Healthcare Provider Details

I. General information

NPI: 1871218172
Provider Name (Legal Business Name): EMILY CATHERINE REZAC PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 10/10/2022
Certification Date: 10/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 W FRANKLIN ST STE 120
CHAPEL HILL NC
27516-2677
US

IV. Provider business mailing address

143 W FRANKLIN ST STE 120
CHAPEL HILL NC
27516-2677
US

V. Phone/Fax

Practice location:
  • Phone: 919-929-1616
  • Fax:
Mailing address:
  • Phone: 919-929-1616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31687
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: