Provider Demographics
NPI:1700556933
Name:HOU, MICHELLE M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:M
Last Name:HOU
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 1:1029 63RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5591
Mailing Address - Country:US
Mailing Address - Phone:917-669-0492
Mailing Address - Fax:
Practice Address - Street 1:8387 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11421-1533
Practice Address - Country:US
Practice Address - Phone:718-480-6484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-18
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist