Provider Demographics
NPI:1790055481
Name:ARNEY, MICHELLE JAMES (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:JAMES
Last Name:ARNEY
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 1:9781 RAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-4440
Mailing Address - Country:US
Mailing Address - Phone:423-360-6194
Mailing Address - Fax:
Practice Address - Street 1:9781 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-4440
Practice Address - Country:US
Practice Address - Phone:423-360-6194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA20224783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist