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NPI Code Detail

MEDICARE: MRS. ELAINE MICHELE MESSERSMITH

MEDICARE: MRS. ELAINE MICHELE MESSERSMITH
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
1183500000XPharmacist03-2-15182OH

General Provider Information

NPI Number : 1255348553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELAINE MICHELE MESSERSMITH
Provider Business Mailing Address
First Line : 30002 WASHINGTON WAY
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-6404
Country : US
Telephone Number : 440-899-0417
Fax Number :
Provider Business Practice Location Address
First Line : 17406 ROYALTON RD
Second Line :
City : STRONGSVILLE
State : OH
Zip : 44136-5151
Country : US
Telephone Number : 440-846-2891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. ELAINE MICHELE MESSERSMITH ” Practice Location

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