Richard Mickelson, PHARM. D

NPI #1083988828 in Wasilla, Alaska

Provider Information

NPI Number: 1083988828
Entity Type: Individual
Name: Richard Mickelson, PHARM. D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM. D
Enumeration Date: Feb 24, 2012
Last Updated: Feb 24, 2012

Practice Location

Address: 1501 E PARKS HWY
City: Wasilla
State: Alaska
ZIP Code: 99654-8283
Phone: (907) 352-5033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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