Individual provider · Type 1 NPI

Michelle Layne Theisen

Pharmacist · Universal City, TX

NPI number 1124333109 Active

Practice location

910 Kittyhawk Rd
Universal City, TX 78148-3806

Call (210) 945-2120 Map

Mailing address

23575 Hanging Oak
San Antonio, TX 78266-1757

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	24401 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1124333109

Michelle Layne Theisen's National Provider Identifier is 1124333109, issued on Aug 13, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Universal City, TX. The record was last updated on Aug 13, 2010.