Provider Demographics
NPI:1922775543
Name:SZABO, MICHELLE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:MARIE
Last Name:SZABO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:MARIE
Other - Last Name:LESNIEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7120 CLEARVISTA DR STE 1900
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-1569
Mailing Address - Country:US
Mailing Address - Phone:317-567-2651
Mailing Address - Fax:317-567-2653
Practice Address - Street 1:7120 CLEARVISTA DR STE 1900
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1569
Practice Address - Country:US
Practice Address - Phone:317-567-2651
Practice Address - Fax:317-567-2653
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029402A1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care