Healthcare Provider Details

I. General information

NPI: 1710329669
Provider Name (Legal Business Name): BRITTANY RENEE SYKES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2013
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 E 5TH ST
TABOR CITY NC
28463-2200
US

IV. Provider business mailing address

808 E 5TH ST
TABOR CITY NC
28463-2200
US

V. Phone/Fax

Practice location:
  • Phone: 910-654-5572
  • Fax:
Mailing address:
  • Phone: 910-653-3562
  • Fax: 910-653-9782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23446
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: