Provider Demographics
NPI:1932678695
Name:GARNER, MICHELLE KRISTINE (RPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:KRISTINE
Last Name:GARNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 SIMPSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3627
Mailing Address - Country:US
Mailing Address - Phone:717-697-8101
Mailing Address - Fax:
Practice Address - Street 1:5140 SIMPSON FERRY RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3627
Practice Address - Country:US
Practice Address - Phone:717-697-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-24
Last Update Date:2018-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045562L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist