Antoon, Tracy E

Antoon, Tracy E is an individual health care provider with primary practice located at 1914 Dr Martin Luther King Jr Blvd , New Bern NC 28560-4542. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Antoon, Tracy E can be contacted via phone (910) 378-5024.

Contact Information

Primary practice address
1914 Dr Martin Luther King Jr Blvd New Bern NC 28560-4542
Phone: (910) 378-5024
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-2-26353 Ohio
Pharmacy Service Providers / Pharmacist 183500000X 19436 North Carolina

Profile Details

NPI number 1093791477
LBN Legal business name Antoon, Tracy E
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jan 21st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093791477 NPPES
Ohio MEDICAID 2088762

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