Most Relevant Information
Provider Data
| NPI Number: | 1003402454 |
| Provider Name: | MICHELLE AMEEN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 63237 |
Most Important Dates
| Enumeration Date: | 12/18/2020 |
| Last Updated: | 12/18/2020 |
Provider Practice Location
11521 N FM 620 RD STE A
AUSTIN
TX
787261168
Practice Location Phone/Fax
| Phone: | 5122490577 |
| Fax: |
Provider Mailing Location
11521 N FM 620 RD STE A
AUSTIN
TX
787261168
Provider Mailing Phone/Fax
| Phone: | 5122490558 |
| Fax: |