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Robert W Mickelson
Pharmacist in Caldwell, Idaho
NPI 1205135498

Robert W Mickelson is a Pharmacist based in Caldwell, ID. Robert W Mickelson practices in Caldwell, ID. The NPI Number for Robert W Mickelson is 1205135498 and holds a License No. P5300 (Idaho).

The current practice location address for Robert W Mickelson is 2809 Cleveland Blvd, Caldwell, ID and can be reached out via phone at 208-455-1094 and via fax at 208-455-1097.

Location: 2809 Cleveland Blvd, Caldwell, ID, 83607-8298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205135498
Provider Name
Robert W Mickelson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2809 Cleveland Blvd, Caldwell, ID, 83607-8298
Phone Number
208-455-1094
Fax Number
208-455-1097
Provider Enumeration Date
03/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2809 Cleveland Blvd
City
Caldwell
State
Idaho
Zip
83605-4443
Phone Number
208-455-1094
Fax Number
208-455-1097
person
Provider Business Mailing Address Details
Address
2809 Cleveland Blvd
City
Caldwell
State
Idaho
Zip
83605-4443
Phone Number
208-455-1094
Fax Number
208-455-1097
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P5300 (Idaho)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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