# DRAGONFLY HOSPICE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356808299
- **Authorized official:** DR. MICHELLE J MIKUS PHARMD (VP PHARMACY OPERATIONS)
- **Authorized official phone:** (724) 414-1425

## Contact information

- **Practice address:** 5075 WINDFALL RD \# 253, MEDINA, OH 44256-8613
- **Practice address phone:** (330) 952-1011
- **Mailing address:** 264 SMITH TOWNSHIP STATE RD STE 5, BURGETTSTOWN, PA 15021-2124
- **Mailing address phone:** (724) 414-1425
- **Mailing address fax:** (855) 445-4203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2019
- **Last updated:** 02/27/2019