Michael Fellner

NPI #1124349444 in Port Hueneme, California

Provider Information

NPI Number: 1124349444
Entity Type: Individual
Name: Michael Fellner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 22, 2010
Last Updated: Jun 22, 2010

Practice Location

Address: 2480 VICTORIA AVE
City: Port Hueneme
State: California
ZIP Code: 93041-2141
Phone: (805) 985-2326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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