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NPI Code Detail

MEDICARE: MRS. TRACI STRICKLAND SHELL CPHT

MEDICARE: MRS. TRACI STRICKLAND SHELL CPHT
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy
33336C0004XCompounding Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112142OTHERNCBOARD OF PHARMACY
2450101080950252OTHERPTCB

General Provider Information

NPI Number : 1548806359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRACI STRICKLAND SHELL CPHT
Provider Business Mailing Address
First Line : 303 N ARENDELL AVE
Second Line :
City : ZEBULON
State : NC
Zip : 27597-2605
Country : US
Telephone Number : 919-269-7481
Fax Number : 919-269-9998
Provider Business Practice Location Address
First Line : 303 N ARENDELL AVE
Second Line :
City : ZEBULON
State : NC
Zip : 27597-2605
Country : US
Telephone Number : 919-269-7481
Fax Number : 919-269-9998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 11/27/2019

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Directions to “ MRS. TRACI STRICKLAND SHELL CPHT” Practice Location

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