Healthcare Provider Details

I. General information

NPI: 1699941302
Provider Name (Legal Business Name): MICHELLE PIN-HSIU LAI PHARM.D., BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 KIRKWOOD HWY VA MEDICAL CENTER - PHARMACY
WILMINGTON DE
19805-4917
US

IV. Provider business mailing address

35 MONTAGUE RD
NEWARK DE
19713-1153
US

V. Phone/Fax

Practice location:
  • Phone: 302-994-2511
  • Fax: 302-633-5443
Mailing address:
  • Phone: 302-453-8588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberA1-0003235
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: