Provider Demographics
NPI:1326589144
Name:ROTHROCK-CHRISTIAN, TRACIE R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TRACIE
Middle Name:R
Last Name:ROTHROCK-CHRISTIAN
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Gender:
Credentials:PHARMD
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Other - First Name:
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Mailing Address - Street 1:508 FULTON ST
Mailing Address - Street 2:PHARMACY SERVICE (119)
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3875
Mailing Address - Country:US
Mailing Address - Phone:919-286-0411
Mailing Address - Fax:919-286-6851
Practice Address - Street 1:508 FULTON ST
Practice Address - Street 2:PHARMACY SERVICE (119)
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:919-286-6851
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC160811835P0018X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist