Shane Bentley, PHARMACY TECHNICIAN
Individual provider Active NPI Pharmacy Technician · Houghton Lake, MI
NPI 1215601331 · NPPES record last updated Aug 3, 2021
Key facts
- NPI
- 1215601331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 5303022152 (MI)
- Practice address
- 4562 W Houghton Lake Dr
Houghton Lake, MI 48629-9005 - Phone
- (989) 366-9212
- Fax
- (989) 366-4776
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5303022152 | MI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Drug Stores Inc | Past |
Accepting new patients | |
| Apex Drug Stores Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303022152 | MI | Yes |
Addresses
Primary practice location
4562 W Houghton Lake Dr
Houghton Lake, MI 48629-9005
Mailing address
4562 W Houghton Lake Dr
Houghton Lake, MI 48629-9005
Phone (989) 366-9212
Other providers in Houghton Lake, MI
- Hayley Marie Baker
- Robert Paul Baker
- Carol Ann Barke
- Hannah Bendall
- Stephanie Bennett
- Blue Skies Counseling Network, PLLC
- Patricia Joann Bonamie
- Carissa Ann Bonner
- Olivia Mae Boyd
- Dana R Brackins II
All providers in Houghton Lake, MI · Pharmacy Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.