MEDICARE: MICHEAL ALAN POWERS RPH

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	11561	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11561	OTHER	AL	STATE PHARMACY LICENSE

General Provider Information

NPI Number	:	1023121191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHEAL ALAN POWERS RPH

Provider Business Mailing Address
First Line	:	104 CLEAR SPRINGS CIR
Second Line	:
City	:	HAZEL GREEN
State	:	AL
Zip	:	35750-4601
Country	:	US
Telephone Number	:	256-828-9540
Fax Number	:

Provider Business Practice Location Address
First Line	:	13574 HIGHWAY 231 431 N STE B
Second Line	:
City	:	HAZEL GREEN
State	:	AL
Zip	:	35750-8642
Country	:	US
Telephone Number	:	256-813-0150
Fax Number	:	256-813-0149

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/08/2007

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Directions to “ MICHEAL ALAN POWERS RPH” Practice Location

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