Michelle Dian Demaline, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Flowery Branch, GA

NPI 1790309201 · NPPES record last updated Aug 11, 2026

Key facts

NPI
1790309201
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
RPH020918 (GA)
Practice address
4025 Winder Hwy
Flowery Branch, GA 30542-3022
Phone
(770) 539-5030
NPI assigned
Jun 1, 2020
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH020918GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH020918 GA Yes

Addresses

Primary practice location

4025 Winder Hwy
Flowery Branch, GA 30542-3022

Mailing address

PO Box 1033
Buford, GA 30515-1033
Phone (770) 510-3651

Other providers in Flowery Branch, GA

All providers in Flowery Branch, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

Sources for this page

Verify at the official NPI Registry.