Individual
ERIC MIEKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3925 WALNUT ST, PHILADELPHIA, PA 19104-3624
(215) 222-0829
Mailing address
3925 WALNUT ST, PHILADELPHIA, PA 19104-3624
(215) 222-0829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454673
PA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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