Thomas Joseph Micknick, RPH

NPI #1093302952 in Hawley, Pennsylvania

Provider Information

NPI Number: 1093302952
Entity Type: Individual
Name: Thomas Joseph Micknick, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 27, 2020
Last Updated: Dec 27, 2020

Practice Location

Address: 658 ROUTE 739 STE 5
City: Hawley
State: Pennsylvania
ZIP Code: 18428-6086
Phone: (570) 775-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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