Provider Demographics
NPI:1184985863
Name:TADAY, MICHAEL H (PHARMD, MBA)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:TADAY
Suffix:
Gender:M
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 LOUDOUN ST SE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175
Mailing Address - Country:US
Mailing Address - Phone:443-756-6666
Mailing Address - Fax:703-259-8227
Practice Address - Street 1:201 LOUDOUN ST SE
Practice Address - Street 2:SUITE 300
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175
Practice Address - Country:US
Practice Address - Phone:443-756-6666
Practice Address - Fax:703-259-8227
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016141183500000X
ARPD11608183500000X
MSP12007183500000X
NE13784183500000X
OR0012624183500000X
TN35663183500000X
OH03331575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist