IndividualActive
Connor Fellows
NPI 1558030957 · Pharmacotherapy Pharmacist · Jackson, MI
Provider details
- NPI number
- 1558030957
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5302413714 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2777 Airport Rd
Jackson, MI 49202-1239
Phone: (517) 783-0010
Approximate (ZIP-level) locationGet directions
Mailing address
4779 Carbary Dr
Jackson, MI 49201-8558
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.