Provider Demographics
NPI:1417277302
Name:ALBRITTON, MICHELLE LOIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LOIS
Last Name:ALBRITTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 KEY PKWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4056
Mailing Address - Country:US
Mailing Address - Phone:301-624-0000
Mailing Address - Fax:301-624-5670
Practice Address - Street 1:1000 KEY PKWY
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4056
Practice Address - Country:US
Practice Address - Phone:301-624-0000
Practice Address - Fax:301-624-5670
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist