MR. Edwin M. Mickelson JR., RPH

NPI #1962716282 in Cornelius, Oregon

Provider Information

NPI Number: 1962716282
Entity Type: Individual
Name: MR. Edwin M. Mickelson JR., RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 115 N 20TH AVE
City: Cornelius
State: Oregon
ZIP Code: 97113-7471
Phone: (503) 357-0762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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