Individual
MRS. TRACI STRICKLAND SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
303 N ARENDELL AVE, ZEBULON, NC 27597-2605
(919) 269-7481
(919) 269-9998
Mailing address
303 N ARENDELL AVE, ZEBULON, NC 27597-2605
(919) 269-7481
(919) 269-9998
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12142
BOARD OF PHARMACY
NC
01
—
450101080950252
PTCB
—
Enumeration date
11/27/2019
Last updated
11/27/2019
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