MEDICARE: DR. KAREN SUE MICHAELS 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	1835G0000X	MD

General Provider Information

NPI Number	:	1467444083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN SUE MICHAELS PHARMD

Provider Business Mailing Address
First Line	:	1718 MARK LN
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4107
Country	:	US
Telephone Number	:	301-896-3577
Fax Number	:	301-897-1357

Provider Business Practice Location Address
First Line	:	8600 OLD GEORGETOWN RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-1422
Country	:	US
Telephone Number	:	301-896-3577
Fax Number	:

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	07/08/2007

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