RYAN MICKELSON

PHILADELPHIA, PA
NPI1659784825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP445273)
Enumeration Date2014-06-05
Last Update Date2014-06-05
Business Address
-- RYAN MICKELSON Rph
5911 RIDGE AVE
PHILADELPHIA, PA 19128-1642
Phone number: 215-482-1992
Mailing Address
-- RYAN MICKELSON Rph
1018 BARTRAM LN
QUAKERTOWN, PA 18951-5013
Phone number: 610-762-2184