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NPI Code Detail

MEDICARE: DR. MICHAEL ALVIS CLEVELAND PHARMD

MEDICARE:  DR. MICHAEL ALVIS CLEVELAND  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
1183500000XPharmacist0000011653TN

General Provider Information

NPI Number : 1871572180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALVIS CLEVELAND PHARMD
Provider Business Mailing Address
First Line : 2080 CHILD ST
Second Line : NAVAL HOSPITAL JACKSONVILLE PHARMACY DEPT
City : JACKSONVILLE
State : FL
Zip : 32214
Country : US
Telephone Number : 904-542-7406
Fax Number :
Provider Business Practice Location Address
First Line : 2080 CHILD ST
Second Line : NAVAL HOSPITAL JACKSONVILLE PHARMACY DEPT
City : JACKSONVILLE
State : FL
Zip : 32214-5005
Country : US
Telephone Number : 904-542-7406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 10/20/2008

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Directions to “ DR. MICHAEL ALVIS CLEVELAND PHARMD” Practice Location

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