Provider Demographics
NPI:1720292444
Name:BELL, MICHELLE V (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:V
Last Name:BELL
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 1:3426 HOLLOW POND RD
Mailing Address - Street 2:
Mailing Address - City:HAYES
Mailing Address - State:VA
Mailing Address - Zip Code:23072-3012
Mailing Address - Country:US
Mailing Address - Phone:757-645-0891
Mailing Address - Fax:
Practice Address - Street 1:120 CORPORATE BLVD
Practice Address - Street 2:BLDG 400
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4962
Practice Address - Country:US
Practice Address - Phone:757-747-4635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist