ROBERT MICKELSON

Pharmacist

Active Individual
NPI: 1205135498

Practice Address

2809 CLEVELAND BLVD
Caldwell, ID 83605

Phone: (208) 455-1094

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes P5300 (ID)

Frequently Asked Questions

NPI 1205135498 is the National Provider Identifier for ROBERT MICKELSON, a Pharmacist provider located in Caldwell, ID. This NPI was enumerated on March 28, 2011.
ROBERT MICKELSON practices at 2809 CLEVELAND BLVD, Caldwell, ID 83605.

Quick Facts

NPI
1205135498
Type
Individual
Enumerated
Mar 28, 2011
Last Updated
Mar 28, 2011

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