Provider Demographics
NPI:1467843813
Name:DAY, MICHELLE (CPHT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-1718
Mailing Address - Country:US
Mailing Address - Phone:419-571-4219
Mailing Address - Fax:
Practice Address - Street 1:115 N MARTIN DR
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-1718
Practice Address - Country:US
Practice Address - Phone:419-571-4219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH500107010041205183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician