Individual
MINA M MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(732) 640-6264
Mailing address
899 EVERGREEN CT, NORTH BRUNSWICK, NJ 08902-2333
(732) 640-6264
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
070432
NY
1835C0205X
Critical Care Pharmacist
RP456838
PA
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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