Provider Demographics
NPI:1801330881
Name:MICHELLE ELIZABETH SANCHEZ-PUJOL
Entity type:Organization
Organization Name:MICHELLE ELIZABETH SANCHEZ-PUJOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-PUJOL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:559-362-8601
Mailing Address - Street 1:10583 E BISCAYNE CT
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-4697
Mailing Address - Country:US
Mailing Address - Phone:559-362-8601
Mailing Address - Fax:
Practice Address - Street 1:10583 E BISCAYNE CT
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-4697
Practice Address - Country:US
Practice Address - Phone:559-362-8601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-11
Last Update Date:2016-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 69137333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy