Doctor Name: | MRS. MICHELE LEE TIPTON |
NPI Number: | 1134205206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMD |
License Number: | RP437923 |
Business Practice Address: | 500 Old Pond Rd Swte. 400 Bridgeville, PA - 150171272 |
Business Phone Number: | 4122571263 |
Business Fax Number: | |
Mailing Address: | 789 Ella St, PITTSBURGH |
State: | PA |
Postal Code: | 152431905 |
Phone Number: | 4125727050 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | RP437923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |