Provider Demographics
NPI:1770029589
Name:PAKCHOIAN, MICHELLE VO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:VO
Last Name:PAKCHOIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:HUYNH
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PSC 827 BOX 519
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09617-0006
Mailing Address - Country:US
Mailing Address - Phone:954-840-6977
Mailing Address - Fax:
Practice Address - Street 1:PSC 827 BOX 519
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09617-0006
Practice Address - Country:US
Practice Address - Phone:954-840-6977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0012602183500000X
FLPS54546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist