Provider Demographics
NPI:1649562240
Name:LANHAM, MICHELLE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:LANHAM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 US ROUTE 60 STE P
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-2837
Mailing Address - Country:US
Mailing Address - Phone:304-840-0991
Mailing Address - Fax:304-885-7576
Practice Address - Street 1:3375 US ROUTE 60 STE P
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2837
Practice Address - Country:US
Practice Address - Phone:304-840-0991
Practice Address - Fax:304-885-7576
Is Sole Proprietor?:No
Enumeration Date:2011-05-15
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist