Provider Demographics
NPI:1477987881
Name:MICHAEL, AMIRA (PHARM D, CGP)
Entity Type:Individual
Prefix:DR
First Name:AMIRA
Middle Name:
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:PHARM D, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10900 HARTLAND ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-7004
Mailing Address - Country:US
Mailing Address - Phone:661-912-2607
Mailing Address - Fax:661-589-7916
Practice Address - Street 1:10900 HARTLAND ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-7004
Practice Address - Country:US
Practice Address - Phone:661-912-2607
Practice Address - Fax:661-589-7916
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61345183500000X
CA28081835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric