Provider Demographics
NPI:1386927929
Name:MCNIFF, MICHELLE M (RPH)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:M
Last Name:MCNIFF
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 1:3336 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7132
Mailing Address - Country:US
Mailing Address - Phone:401-737-1952
Mailing Address - Fax:401-737-6468
Practice Address - Street 1:3336 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7132
Practice Address - Country:US
Practice Address - Phone:401-737-1952
Practice Address - Fax:401-737-6468
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH04043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist