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NPI Code Detail

MEDICARE: KATLYN BIXLER RPH

MEDICARE:   KATLYN  BIXLER  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist5302412915MI

General Provider Information

NPI Number : 1790383909
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATLYN BIXLER RPH
Provider Business Mailing Address
First Line : 2060 DIX HWY
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2274
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2060 DIX HWY
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2274
Country : US
Telephone Number : 313-386-5355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2020
Last Update Date : 05/19/2026

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Directions to “ KATLYN BIXLER RPH” Practice Location

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