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Autumn Lee Mittleider, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Bragg, North Carolina
NPI 1720412968

Autumn Lee Mittleider is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Fort Bragg, NC and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Autumn Lee Mittleider practices in Fort Bragg, NC and has the professional credentials of PHARMD. The NPI Number for Autumn Lee Mittleider is 1720412968 and holds a License No. 23731 (North Carolina).

The current practice location address for Autumn Lee Mittleider is 1722 Tagaytay Dr, Fort Bragg, NC and can be reached out via phone at 910-643-9438 and via fax at 910-643-1901. You can also correspond with Autumn Lee Mittleider through the mailing address at 2817 REILLY ST, FORT BRAGG, NC - 28310-7394 (mailing address contact number: 910-643-9438).

Location: 1722 Tagaytay Dr, Fort Bragg, NC, 28310-7394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720412968
Provider Name
Autumn Lee Mittleider
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
1722 Tagaytay Dr, Fort Bragg, NC, 28310-7394
Phone Number
910-643-9438
Fax Number
910-643-1901
Provider Enumeration Date
08/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1722 Tagaytay Dr
City
Fort Bragg
State
North Carolina
Zip
28310-5552
Phone Number
910-643-9438
Fax Number
910-643-1901
person
Provider Business Mailing Address Details
Address
2817 Reilly St
City
Fort Bragg
State
North Carolina
Zip
28310-7394
Phone Number
910-643-9438
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
23731 (North Carolina)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
23731 (North Carolina)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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