MEDICARE: MICHAEL OAKES 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	2398	NH

General Provider Information

NPI Number	:	1154649606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL OAKES RPH

Provider Business Mailing Address
First Line	:	512 MOORES POND RD
Second Line	:
City	:	SILVER LAKE
State	:	NH
Zip	:	03875-4114
Country	:	US
Telephone Number	:	603-367-8515
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 MOORES POND RD
Second Line	:
City	:	SILVER LAKE
State	:	NH
Zip	:	03875-4114
Country	:	US
Telephone Number	:	603-367-8515
Fax Number	:

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

Provider Enumeration Date	:	05/07/2010
Last Update Date	:	11/13/2019

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