Hailey Amlott, PHARMD

Individual provider Active NPI Pharmacist · Cadillac, MI

NPI 1720691983 · NPPES record last updated Aug 27, 2020

Key facts

NPI
1720691983
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302412839 (MI)
Practice address
Walgreens 07660
1220 N. Mitchell Street
Cadillac, MI 49601
Phone
(231) 775-9166
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
5302412839MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Aug 30, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302412839 MI Yes

Addresses

Primary practice location

Walgreens 07660
1220 N. Mitchell Street
Cadillac, MI 49601

Mailing address

644 Lori Ann Dr
Cadillac, MI 49601-2544
Phone (231) 942-1615

Other providers in Cadillac, MI

All providers in Cadillac, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.