Provider Demographics
NPI:1972841997
Name:STRANGE, TAMMY L (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:STRANGE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 W TRADE ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-1544
Mailing Address - Country:US
Mailing Address - Phone:704-922-7187
Mailing Address - Fax:704-922-7361
Practice Address - Street 1:715 W TRADE ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:NC
Practice Address - Zip Code:28034-1544
Practice Address - Country:US
Practice Address - Phone:704-922-7187
Practice Address - Fax:704-922-7361
Is Sole Proprietor?:No
Enumeration Date:2013-01-25
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19115183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist