Healthcare Provider Details

I. General information

NPI: 1396289823
Provider Name (Legal Business Name): CARLY DEBELLA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 US HIGHWAY 70 SE
HICKORY NC
28602-8301
US

IV. Provider business mailing address

5024 MOUNTAIN POINT LN
CHARLOTTE NC
28216-7765
US

V. Phone/Fax

Practice location:
  • Phone: 828-326-7009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26642
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS53451
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: