MEDICARE: MICHAELA CHEYENNE SAUNDERS 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
1	183500000X	Pharmacist	22179	AL

General Provider Information

NPI Number	:	1235881905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAELA CHEYENNE SAUNDERS PHARMD

Provider Business Mailing Address
First Line	:	575 IMAGES PT
Second Line	:
City	:	CROPWELL
State	:	AL
Zip	:	35054-3971
Country	:	US
Telephone Number	:	205-515-5248
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 PELHAM RD S
Second Line	:
City	:	JACKSONVILLE
State	:	AL
Zip	:	36265-3021
Country	:	US
Telephone Number	:	256-435-2095
Fax Number	:

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

Provider Enumeration Date	:	01/24/2022
Last Update Date	:	01/24/2022

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