Provider Demographics
NPI:1215048616
Name:PFEIFFER, MARIA MICHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:MICHELLE
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8442 ASHFORD PL
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4561
Mailing Address - Country:US
Mailing Address - Phone:816-914-4048
Mailing Address - Fax:
Practice Address - Street 1:1640 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-5605
Practice Address - Country:US
Practice Address - Phone:727-938-3731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0556050041Medicare ID - Type Unspecified