NPI 1083988828

Richard Mickelson, PHARMD

Practitioner Pharmacist Wasilla, AK

Practice location

Address: 1501 E Parks Hwy, Wasilla, AK 99654-8283
Phone: (907) 352-5033
Fax: (907) 352-5027

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 1644 (AK)

Other Pharmacist providers in Alaska →

Registry record

NPI: 1083988828
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2012
Record last updated: 24 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.