Dean W Mickelson, RPH

NPI #1043464407 in Lincoln City, Oregon

Provider Information

NPI Number: 1043464407
Entity Type: Individual
Name: Dean W Mickelson, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 12, 2008
Last Updated: Nov 12, 2008

Practice Location

Address: 4048 NE HIGHWAY 101
City: Lincoln City
State: Oregon
ZIP Code: 97367-5069
Phone: (541) 994-5670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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