Individual
MR. JIM JOHN MIKITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1801 MARKETPLACE DR SE, CALEDONIA, MI 49316-8506
(616) 656-6110
Mailing address
4146 E GABLES CT NE, GRAND RAPIDS, MI 49525-9378
(616) 656-6110
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302022413
MI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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