Provider Demographics
NPI:1548866965
Name:CLAYPOOLE, MICHELLE ANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANNE
Last Name:CLAYPOOLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 STONEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-9034
Mailing Address - Country:US
Mailing Address - Phone:724-309-7832
Mailing Address - Fax:
Practice Address - Street 1:307 23RD STREET EXTENSION
Practice Address - Street 2:SUITE 164
Practice Address - City:SHARPSBURG
Practice Address - State:PA
Practice Address - Zip Code:15215
Practice Address - Country:US
Practice Address - Phone:724-545-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444646183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist