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NPI Code Detail

MEDICARE: DR. MARLA MIDDLETON EKOLA PHARMD

MEDICARE:  DR. MARLA MIDDLETON EKOLA  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist5302042035MI
21835P1200XPharmacotherapy Pharmacist19992GA

General Provider Information

NPI Number : 1487653119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARLA MIDDLETON EKOLA PHARMD
Provider Business Mailing Address
First Line : 4169 INDIAN GLEN DR
Second Line :
City : OKEMOS
State : MI
Zip : 48864-3848
Country : US
Telephone Number : 517-580-2836
Fax Number :
Provider Business Practice Location Address
First Line : 826 W KING ST
Second Line :
City : OWOSSO
State : MI
Zip : 48867-2120
Country : US
Telephone Number : 989-729-4588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 03/17/2018

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Directions to “ DR. MARLA MIDDLETON EKOLA PHARMD” Practice Location

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