Dailey, Tracey R
Dailey, Tracey R is an sole proprietor health care provider with primary practice located at 1100 E Walnut Ave Suite 16, Dalton GA 30721-4183. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dailey, Tracey R can be contacted via phone (706) 226-6000.Contact Information
Primary practice address
1100 E Walnut Ave Suite 16
Dalton GA 30721-4183
Phone: (706) 226-6000
Fax: (706) 226-3786
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | RPH016829 | Georgia |
Profile Details
NPI number | 1205834637 |
---|---|
LBN Legal business name | Dailey, Tracey R |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 10th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205834637 | NPPES |
Georgia | Other | RPH016829 | PHARMACIST LICENSE |
Georgia | MEDICAID | 00932588B | PHARMACIST LICENSE |
Georgia | MEDICAID | 00932588A | PHARMACIST LICENSE |
Georgia | Other | PHRE008559 | PHARMACIST LICENSE |
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