Doctor Name: | MICHAEL MICHAUD |
NPI Number: | 1306123534 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 4320 |
Business Practice Address: | 163 Van Buren Rd Suite 6 Caribou, ME - 047363567 |
Business Phone Number: | 2074933839 |
Business Fax Number: | 2074933877 |
Mailing Address: | 163 Van Buren Rd, Suite 6 CARIBOU |
State: | ME |
Postal Code: | 047363567 |
Phone Number: | 2074933839 |
Fax Number: | 2074933877 |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 4320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |