Provider Demographics
NPI:1558562025
Name:PATTON, MICHELLE B (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:B
Last Name:PATTON
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 CHEROKEE NATIONAL HWY
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-5620
Mailing Address - Country:US
Mailing Address - Phone:864-488-2419
Mailing Address - Fax:
Practice Address - Street 1:113 W BUFORD ST
Practice Address - Street 2:GAFFNEY
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-3001
Practice Address - Country:US
Practice Address - Phone:864-488-3036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8119183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist