Provider Demographics
NPI:1366989238
Name:BELL, ERICA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:BELL
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:PO BOX 145
Mailing Address - Street 2:9634 DUNN ROAD
Mailing Address - City:GODWIN
Mailing Address - State:NC
Mailing Address - Zip Code:28344
Mailing Address - Country:US
Mailing Address - Phone:910-261-3885
Mailing Address - Fax:
Practice Address - Street 1:7701 S RAEFORD RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-6130
Practice Address - Country:US
Practice Address - Phone:910-864-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist