Provider Demographics
NPI:1558796763
Name:KNIGHT, MICHELLE LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LYNN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:2300 MACCORKLE AVE SE
Mailing Address - Street 2:UNIVERSITY OF CHARLESTON SCHOOL OF PHARMACY
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1045
Mailing Address - Country:US
Mailing Address - Phone:304-357-0028
Mailing Address - Fax:304-357-4868
Practice Address - Street 1:1097 FLEDDERJOHN RD
Practice Address - Street 2:ASHTON MEDICAL ASSOCIATES, INC.
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314-4208
Practice Address - Country:US
Practice Address - Phone:304-345-3627
Practice Address - Fax:304-346-4440
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-06
Last Update Date:2016-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPS51150183500000X
WVRP00095361835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist