MRS. Mickey A League, PHARMACIST

NPI #1043496391 in Rocky Mount, North Carolina

Provider Information

NPI Number: 1043496391
Entity Type: Individual
Name: MRS. Mickey A League, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Jan 17, 2008
Last Updated: Jan 17, 2008

Practice Location

Address: 3621 SUNSET AVE
City: Rocky Mount
State: North Carolina
ZIP Code: 27804-3411
Phone: (252) 937-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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