Individual
EDWARD ANTHONY DIMICHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4801 W BROAD ST, COLUMBUS, OH 43228-1601
(614) 878-7565
Mailing address
300 E KOSSUTH ST, COLUMBUS, OH 43206-2216
(614) 406-0249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-327077
OH
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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