MEDICARE: CHELSEA MITCHELL PHARMD, 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	03135888	OH

General Provider Information

NPI Number	:	1174127757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA MITCHELL PHARMD, RPH

Provider Business Mailing Address
First Line	:	6604 PARK MILL DR
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-7093
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4777 SAWMILL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-6160
Country	:	US
Telephone Number	:	614-459-7641
Fax Number	:

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

Provider Enumeration Date	:	11/24/2020
Last Update Date	:	11/24/2020

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