Healthcare Provider Details

I. General information

NPI: 1376841783
Provider Name (Legal Business Name): MICHELE MARIE OAKS RPH, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 W MARKET ST
TROY OH
45373-3003
US

IV. Provider business mailing address

2145 WOODSTOCK CT
TROY OH
45373-7517
US

V. Phone/Fax

Practice location:
  • Phone: 937-573-4530
  • Fax:
Mailing address:
  • Phone: 937-339-2313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03-1-18881
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: