Individual
MR. JEFFREY T MIKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
770 W PIKE ST, KROGER PHARMACY, CLARKSBURG, WV 26301-2649
(304) 623-2598
(304) 623-5839
Mailing address
770 W PIKE ST, KROGER PHARMACY, CLARKSBURG, WV 26301-2649
(304) 623-2598
(304) 623-5839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5040
WV
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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