DR. Roseanne P Miksanek, PHARMD, BCPS

NPI #1942690961 in Herrin, Illinois

Provider Information

NPI Number: 1942690961
Entity Type: Individual
Name: DR. Roseanne P Miksanek, PHARMD, BCPS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, BCPS
Enumeration Date: Jan 28, 2015
Last Updated: Jan 28, 2015

Practice Location

Address: 201 S 14TH ST
City: Herrin
State: Illinois
ZIP Code: 62948-3631
Phone: (618) 942-2171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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