Healthcare Provider Details

I. General information

NPI: 1225318702
Provider Name (Legal Business Name): TRACY LYNN NEFF-COX PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2011
Last Update Date: 08/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MULBERRY ST SW
LENOIR NC
28645-5720
US

IV. Provider business mailing address

321 MULBERRY ST SW
LENOIR NC
28645-5720
US

V. Phone/Fax

Practice location:
  • Phone: 828-757-5162
  • Fax: 828-757-6172
Mailing address:
  • Phone: 828-757-5162
  • Fax: 828-757-6172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19152
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0006449
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: