Provider Demographics
NPI:1457830671
Name:FUESTING, MICHAELA (PHARMD)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:FUESTING
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 1:163 WINTER FOREST DR APT 202
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-0420
Mailing Address - Country:US
Mailing Address - Phone:765-894-7635
Mailing Address - Fax:
Practice Address - Street 1:60 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9405
Practice Address - Country:US
Practice Address - Phone:828-684-6864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist