Provider Demographics
NPI:1801143680
Name:APPLEWHITE, MICHELLE M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:M
Last Name:APPLEWHITE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:C
Other - Last Name:MELLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2255 S EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6318
Mailing Address - Country:US
Mailing Address - Phone:760-828-0001
Mailing Address - Fax:
Practice Address - Street 1:2255 S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6318
Practice Address - Country:US
Practice Address - Phone:760-828-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51966183500000X
CA71103183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist