MEDICARE: DR. TRACY LYNNE HAMBY PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	12108	NC

General Provider Information

NPI Number	:	1467785584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACY LYNNE HAMBY PHARM D

Provider Business Mailing Address
First Line	:	109 MARKET PLACE DR
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3152
Country	:	US
Telephone Number	:	336-818-3059
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 MARKET PLACE DR
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3152
Country	:	US
Telephone Number	:	336-818-3059
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2009
Last Update Date	:	12/16/2022

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