MEDICARE: DR. ISABELLA NICOLE MCCUMBER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	067062	NY

General Provider Information

NPI Number	:	1447867825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISABELLA NICOLE MCCUMBER PHARMD

Provider Business Mailing Address
First Line	:	1200 E ROBINSON ST
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-4804
Country	:	US
Telephone Number	:	716-343-4175
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 E ROBINSON ST
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-4804
Country	:	US
Telephone Number	:	716-343-4175
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	09/29/2020

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