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NPI Code Detail

MEDICARE: DR. MICHAEL POWELL PHARM D

MEDICARE: DR. MICHAEL POWELL PHARM D
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
1183500000XPharmacist50557TX

General Provider Information

NPI Number : 1871877357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL POWELL PHARM D
Provider Business Mailing Address
First Line : 5610 YORKWOOD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77016-2617
Country : US
Telephone Number : 832-722-3904
Fax Number :
Provider Business Practice Location Address
First Line : 6610 TIDWELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77016-4824
Country : US
Telephone Number : 832-722-3904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 10/03/2011

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