| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MAKAELA PREMONT | 1578162939 | 2020-10-18 |
Makaela Premont is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578162939. Registration indicates Makaela Premont is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Makaela Premont PHARMD, RPH |
| Practice Office Address | 4391 CENTRAL AVE CHARLOTTE, NC US |
| Practice Office Telephone | 7045355280 |
| Mailing Address | 823 BLUE SKY DR NW CONCORD, NC 280277967 US |
| Business Telephone | 8034571062 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 29976
NC |