Provider Demographics
NPI:1730540402
Name:STILES, MACHELLE C (RPH)
Entity type:Individual
Prefix:
First Name:MACHELLE
Middle Name:C
Last Name:STILES
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 1:225 WILDFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-8008
Mailing Address - Country:US
Mailing Address - Phone:256-585-5862
Mailing Address - Fax:
Practice Address - Street 1:225 WILDFLOWER CT
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-8008
Practice Address - Country:US
Practice Address - Phone:256-585-5862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL104411835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy