Individual
ALLAN MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11212 SUNRISE BLVD E STE 204, PUYALLUP, WA 98374-8847
(253) 770-3408
(253) 770-3511
Mailing address
11212 SUNRISE BLVD E STE 204, PUYALLUP, WA 98374-8847
(253) 770-3408
(253) 770-3511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00011545
WA
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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