Individual
DR. MICHELLE EDWARDS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS, FCCM,
Contact information
Practice address
SUTTER SANTA ROSA REGIONAL HOSPITAL DEPT. OF PHARMACY, 30 MARK WEST SPRINGS ROAD, SANTA ROSA, CA 95403-1436
(707) 576-4340
(707) 541-9120
Mailing address
416 WEST ST, SEBASTOPOL, CA 95472-3715
(707) 819-6401
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10053
CA
1835P1200X
Pharmacotherapy Pharmacist
12974
AZ
1835P1200X
Pharmacotherapy Pharmacist
55888
CA
Other
Enumeration date
11/15/2006
Last updated
04/02/2020
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