O'Donnell, Tracy Lynn

O'Donnell, Tracy Lynn is an individual health care provider with primary practice located at 5581 Merchants View Sq , Haymarket VA 20169-5439. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. O'Donnell, Tracy Lynn can be contacted via phone (703) 581-8757.

Contact Information

Primary practice address
5581 Merchants View Sq Haymarket VA 20169-5439
Phone: (703) 581-8757
Fax: (717) 960-8398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0202012967 Virginia
Pharmacy Service Providers / Pharmacist 183500000X 0202012967 Virginia

Profile Details

NPI number 1962910448
LBN Legal business name O'Donnell, Tracy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2018
Last updated Mar 19th, 2019 - about 5 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 1962910448 NPPES
Virginia MEDICAID 010328471

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