Provider Demographics
NPI:1760376214
Name:HIRSCHMANN, TRACY CHIAMAKA (PHARMD)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:CHIAMAKA
Last Name:HIRSCHMANN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:CHIAMAKA
Other - Last Name:OKOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2157 WINSBURY
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-2430
Mailing Address - Country:US
Mailing Address - Phone:501-256-6649
Mailing Address - Fax:
Practice Address - Street 1:2157 WINSBURY
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-2430
Practice Address - Country:US
Practice Address - Phone:501-256-6649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty