Provider Demographics
NPI:1083937924
Name:KOROBEY, MICHELLE MCARTHUR (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MCARTHUR
Last Name:KOROBEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:RENE
Other - Last Name:MCARTHUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:92 DELAWARE CT.
Mailing Address - Street 2:
Mailing Address - City:ST. CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303
Mailing Address - Country:US
Mailing Address - Phone:314-443-4128
Mailing Address - Fax:
Practice Address - Street 1:1900 FIRST CAPITAL DR.
Practice Address - Street 2:
Practice Address - City:ST. CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301
Practice Address - Country:US
Practice Address - Phone:636-946-0738
Practice Address - Fax:636-946-0775
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-07
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009024679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist