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NPI Code Detail

MEDICARE: KELSEY FURTICK PHARMD

MEDICARE: KELSEY FURTICK PHARMD
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
11835C0205XCritical Care Pharmacist30839NC
21835E0208XEmergency Medicine Pharmacist30839NC

General Provider Information

NPI Number : 1841141264
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY FURTICK PHARMD
Provider Business Mailing Address
First Line : 7037 HYDE PARK DR
Second Line :
City : INDIAN TRAIL
State : NC
Zip : 28079-5633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 864-541-1389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ KELSEY FURTICK PHARMD” Practice Location

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