Provider Demographics
NPI:1750676839
Name:DOGEY, MICHELLE LOUISE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LOUISE
Last Name:DOGEY
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 1:924 7TH ST
Mailing Address - Street 2:#10
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-2734
Mailing Address - Country:US
Mailing Address - Phone:626-404-6919
Mailing Address - Fax:
Practice Address - Street 1:777 E COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2104
Practice Address - Country:US
Practice Address - Phone:626-404-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48269183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist