Individual
MAIKEL MIKHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 513-1414
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238874
MA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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