Michelle George, PHARMD

Individual provider Active NPI Pharmacist · Smithville, MS

NPI 1245548296 · NPPES record last updated Oct 1, 2018

Key facts

NPI
1245548296
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
E-09802 (MS)
Practice address
60021 Monroe St
Smithville, MS 38870-7779
Phone
(662) 651-4637
Fax
(662) 651-4077
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-09802MSMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-09802 MS Yes

Addresses

Primary practice location

60021 Monroe St
Smithville, MS 38870-7779

Mailing address

PO Box 305
Smithville, MS 38870-0305
Phone (662) 651-4637

Other providers in Smithville, MS

All providers in Smithville, MS · Pharmacist in Mississippi

Sources for this page

Verify at the official NPI Registry.