Rebecca Marie Flegel

Individual provider Active NPI Pharmacy Technician · Ravenna, MI

NPI 1407436256 · NPPES record last updated Apr 14, 2021

Key facts

NPI
1407436256
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
5303000770 (MI)
Practice address
1535 S Trent Rd
Ravenna, MI 49451-9715
Phone
(231) 286-2718
Fax
(616) 784-2454
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5303000770MIMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303000770 MI Yes

Addresses

Primary practice location

1535 S Trent Rd
Ravenna, MI 49451-9715

Mailing address

1535 S Trent Rd
Ravenna, MI 49451-9715
Phone (231) 286-2718

Other providers in Ravenna, MI

All providers in Ravenna, MI · Pharmacy Technician in Michigan

Sources for this page

Verify at the official NPI Registry.