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NPI Code Detail

MEDICARE: MICHAEL ANDREW MCCONNELL PHARMD

MEDICARE: MICHAEL ANDREW MCCONNELL 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
1183500000XPharmacistRP457269PA

General Provider Information

NPI Number : 1043044738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ANDREW MCCONNELL PHARMD
Provider Business Mailing Address
First Line : 4200 INDUSTRIAL PARK DR
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1737
Country : US
Telephone Number : 855-265-8008
Fax Number :
Provider Business Practice Location Address
First Line : 4200 INDUSTRIAL PARK DR
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1737
Country : US
Telephone Number : 855-265-8008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2024
Last Update Date : 08/27/2024

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