Individual
MICHELLE NOE-LANIKAI KELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1587 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4454
(321) 459-1647
(321) 459-1201
Mailing address
8941 LAKE DR APT D205, CAPE CANAVERAL, FL 32920-4296
(321) 459-1647
(321) 459-1201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS68983
FL
1835P2201X
Ambulatory Care Pharmacist
Primary
7448295-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7448295-1701
PHARMACIST
UT
01
—
7448295-8911
CONTROLLED SUBSTANCES LICENSE
UT
01
—
PS68983
PHARMACIST
FL
Enumeration date
09/05/2018
Last updated
09/24/2025
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