Individual
MR. CRAIG A MIKLASIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
506 WESTFIELD RD, HOLYOKE, MA 01040-1633
(413) 536-5506
Mailing address
40 NORWOOD TER, HOLYOKE, MA 01040-1710
(413) 540-0192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24081
MA
183500000X
Pharmacist
9120
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448141
—
MA
01
—
2237914
NABP
MA
01
—
24081
MA RPH LICENSE
MA
01
—
9120
CT RPH LICENSE NUMBER
CT
Enumeration date
03/13/2007
Last updated
07/09/2007
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