Individual
MICAELA DIANE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N ACADEMY AVE, MC 42-01F BUSH OUTPATIENT PHARMACY, DANVILLE, PA 17822
(570) 271-6451
(570) 271-7065
Mailing address
100 N ACADEMY AVE, MC 42-01F BUSH OUTPATIENT PHARMACY, DANVILLE, PA 17822-9800
(570) 271-6451
(570) 271-7065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
056848
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP453924
PA
Other
Enumeration date
11/25/2014
Last updated
03/15/2024
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