Individual
JOHN J MICHELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
USA MEDDAC, RWBAHC, 2240 WINROW AVE, FORT HUACHUCA, AZ 85613
(520) 533-2520
Mailing address
4312 S CHEROKEE AVE, SIERRA VISTA, AZ 85650-9722
(520) 803-0472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6806
AZ
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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