Individual
MR. CHARLES JOSEPH MICKLOSKY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1489 SANBROOK CT, BETHLEHEM, PA 18015-5645
(610) 865-3370
(610) 865-3370
Mailing address
1489 SANBROOK CT, BETHLEHEM, PA 18015-5645
(610) 865-3370
(610) 865-3370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP025502L
PA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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