NPI Code Details Logo

NPI 1447114665

NPI 1447114665 : MICHELE ANN MCDERMOTT RPH : PARIS, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447114665
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHELE ANN MCDERMOTT RPH
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/11/2025
-----------------------------------------------------
    Last Update Date     |    12/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3710 LAMAR AVE 
-----------------------------------------------------
    City                 |    PARIS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75462-5204
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    903-785-0736
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3710 LAMAR AVE 
-----------------------------------------------------
    City                 |    PARIS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75462-5204
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    520-331-3502
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    37003
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.