Provider Demographics
NPI:1609163526
Name:TARZIA, SHELBY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:
Last Name:TARZIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 ASHEFORD GREEN AVE NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8188
Mailing Address - Country:US
Mailing Address - Phone:704-788-4518
Mailing Address - Fax:
Practice Address - Street 1:1260 UNION ST S
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-5810
Practice Address - Country:US
Practice Address - Phone:704-793-1629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14478183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist