Individual
MICHAELA NOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 W GOVERNMENT ST, BRANDON, MS 39042-2414
(601) 825-3697
Mailing address
105 HOGG CREEK DR UNIT 320573, FLOWOOD, MS 39232-3076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100840
MS
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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