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Individual

MISS MICHELLE NICOLE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2001-1108-2401-772
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000023597
TN. PHARMACY BOARD
TN
01
4438568
NCPDP
TN
Enumeration date
11/06/2006
Last updated
03/07/2023
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