Micajah R. Poole

NPI #1447947593 in Moses Lake, Washington

Provider Information

NPI Number: 1447947593
Entity Type: Individual
Name: Micajah R. Poole
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 19, 2023
Last Updated: Apr 19, 2023

Practice Location

Address: 605 S COOLIDGE ST
City: Moses Lake
State: Washington
ZIP Code: 98837-1873
Phone: (509) 765-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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