Izabella McCanham
Individual provider Active NPI Pharmacy Technician · Marlette, MI
NPI 1376110783 · NPPES record last updated Jun 6, 2021
Key facts
- NPI
- 1376110783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 5303031467 (MI)
- Practice address
- 2985 Main St
Marlette, MI 48453-1112 - Phone
- (989) 635-2031
- NPI assigned
- Jun 6, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5303031467 | MI | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303031467 | MI | Yes |
Addresses
Primary practice location
2985 Main St
Marlette, MI 48453-1112
Mailing address
2985 Main St
Marlette, MI 48453-1112
Phone (989) 635-2031
Other providers in Marlette, MI
- Marlette Regional Hospital
- Marlette Regional Hospital
- Marlette Regional Hospital
- Marlette Regional Hospital
- Tracee Marsa
- Michael R McClelland
- Joyce McNabb
- Makayla Rose McNary
- Mohan Dass Macha MD PC
- Janet A. Mutch
All providers in Marlette, 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 Jun 6, 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.