SearchPennsylvania183500000X

Ryan Mickelson, RPH

NPI 1659784825 · on the registry since 2014

Practice

Address
5911 Ridge Ave
Philadelphia, PA 19128
Phone
(215) 482-1992
Fax
(215) 482-9146
Organisation at this address
Rite Aid Of Pennsylvania Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania