Individual
RYAN ANDREW MICHONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 CAREW ST, SPRINGFIELD, MA 01104-1961
(413) 205-1495
Mailing address
625 CAREW ST, SPRINGFIELD, MA 01104-1961
(413) 205-1495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234866
MA
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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