Provider Demographics
NPI:1598040214
Name:KREITMAN, MICHELE L (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:L
Last Name:KREITMAN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5280 SIMPSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3514
Mailing Address - Country:US
Mailing Address - Phone:717-691-6216
Mailing Address - Fax:717-791-6406
Practice Address - Street 1:5280 SIMPSON FERRY RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3514
Practice Address - Country:US
Practice Address - Phone:717-691-6216
Practice Address - Fax:717-791-6406
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045281L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist