Most Relevant Information
Provider Data
| NPI Number: | 1003173709 |
| Provider Name: | MICHELLE MALLERY HATCHETT |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | IR 60221618 |
Most Important Dates
| Enumeration Date: | 04/19/2012 |
| Last Updated: | 01/23/2018 |
Provider Practice Location
1915 NE TERRE VIEW DR APT 59D
PULLMAN
WA
991634544
Practice Location Phone/Fax
| Phone: | 3038687363 |
| Fax: |
Provider Mailing Location
5040 FILAREES CIR
COLORADO SPRINGS
CO
809171321
Provider Mailing Phone/Fax
| Phone: | 3038687363 |
| Fax: |