MEDICARE: MRS. NORA MICHAELS RPH

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	11784	AL

General Provider Information

NPI Number	:	1679564199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NORA MICHAELS RPH

Provider Business Mailing Address
First Line	:	121 CHICKASAW TRL
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-8583
Country	:	US
Telephone Number	:	256-325-7433
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 UPLAND AVE
Second Line	:	SUITE 112
City	:	BROOKHAVEN
State	:	PA
Zip	:	19015-2434
Country	:	US
Telephone Number	:	610-499-9040
Fax Number	:

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	03/03/2009

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