Hale-Smith, Tracie Lynn

Hale-Smith, Tracie Lynn is an individual health care provider with primary practice located at 1123 Washington St , Vicksburg MS 39183-2959. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hale-Smith, Tracie Lynn can be contacted via phone (601) 636-2756.

Contact Information

Primary practice address
1123 Washington St Vicksburg MS 39183-2959
Fax: (601) 638-0071
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E07658 Mississippi

Profile Details

NPI number 1548374424
LBN Legal business name Hale-Smith, Tracie Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548374424 NPPES
Mississippi Other E07658 STATE LICENSE

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