Michelle Webster
Individual provider Active NPI Pharmacist · Clarkston, MI
NPI 1962033050 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1962033050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302034823 (MI)
- Practice address
- 5756 Clarkston Rd
Clarkston, MI 48348-4706 - Phone
- (248) 620-2761
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 5302034823 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Current |
Accepting new patients |
Locations
5756 Clarkston Rd
Independence, MI 48348
Phone (248) 620-2761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302034823 | MI | Yes |
Addresses
Primary practice location
5756 Clarkston Rd
Clarkston, MI 48348-4706
Mailing address
5756 Clarkston Rd
Clarkston, MI 48348-4706
Phone (248) 620-2761
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. 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.