Individual
MICHAEL THOMAS VAN ORNUM
Active
Individual
MICHAEL THOMAS VAN ORNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
437059
NY
183500000X
Pharmacist
045917
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202211249
VA
Other
Enumeration date
04/26/2006
Last updated
03/02/2015
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