MEDICARE: DR. MICHELLE PORTER NEWMAN PHARM.D., R.PH.

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	44263	TX

General Provider Information

NPI Number	:	1467584797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE PORTER NEWMAN PHARM.D., R.PH.

Provider Business Mailing Address
First Line	:	11402 SHOAL CREEK DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8795
Country	:	US
Telephone Number	:	281-974-2045
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 N FRIENDSWOOD DR
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-3746
Country	:	US
Telephone Number	:	281-992-1710
Fax Number	:

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	07/08/2007

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