Individual
ANTHONY MICKEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
26TH AND DELAWARE AVE, CVS PHARMACY, N WILDWOOD, NJ 08260
(609) 729-5300
Mailing address
35 COLUMBUS AVE, LITTLE FERRY, NJ 07643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03336700
NJ
Other
Enumeration date
05/22/2010
Last updated
08/29/2012
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