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Contact Information

MICHELLE D VAN VLECK, PHARM.D.
24044 MORGAN RD
GREENTOP, MO63546-2511
 Phone: 319-670-9415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for MICHELLE D VAN VLECK · (Female)

NPI # 1194287631
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 04/03/2019
Last updated 04/03/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 051296719
  • MO License # 0335423
  • MO License # 2014003295
  • MO License # 21755
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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