Healthcare Provider Details

I. General information

NPI: 1538658513
Provider Name (Legal Business Name): MICHELLE LYNN WOJCEHOWICZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2018
Last Update Date: 05/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8951 S OLD STATE RD
LEWIS CENTER OH
43035-9146
US

IV. Provider business mailing address

16295 RIVERBIRCH DR
MARYSVILLE OH
43040-7077
US

V. Phone/Fax

Practice location:
  • Phone: 614-841-7555
  • Fax:
Mailing address:
  • Phone: 614-557-3731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03226300
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: