Mr. Mark Mikkelson, RPH
Pharmacist, Oncology in Waterford, Connecticut
1215787676- Practice location
- 230 Waterford Pkwy S, Waterford, CT 06385-1219
- Phone
- 860-271-4360
- Fax
- —
- Last updated
- March 26, 2024
Mark Mikkelson is a Pharmacist, Oncology based in Waterford, CT. Mark Mikkelson practices in Waterford, CT and has the professional credentials of RPH. The NPI Number for Mark Mikkelson is 1215787676 and holds a License No. 5784 (CT). The current practice location address for Mark Mikkelson is 230 Waterford Pkwy S, Waterford, CT 06385-1219 and can be reached out via phone at 860-271-4360.
Provider Profile Details
- NPI Number
- 1215787676
- Provider Name
- Mark Mikkelson
- Credential
- RPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 230 Waterford Pkwy S, Waterford, CT 06385-1219
- Phone Number
- 860-271-4360
- Primary Taxonomy
- Pharmacist, Oncology · 1835X0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2024
- Last Update Date
- March 26, 2024
- Certification Date
- March 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 230 Waterford Pkwy S
Waterford, CT 06385-1219 - City
- Waterford
- State
- Connecticut
- Zip
- 06385-1219
- Phone Number
- 860-271-4360
Provider Business Mailing Address Details
- Address
- 230 Waterford Pkwy S
Waterford, CT 06385-1219 - City
- Waterford
- State
- CT
- Zip
- 06385-1219
- Phone Number
- 860-271-4630
License Information
- License Number
- 5784
- License State
- CT
- Taxonomy
- Pharmacist, Oncology · 1835X0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Mark Mikkelson, RPH?
The NPI number of Mr. Mark Mikkelson, RPH is 1215787676. It was assigned on March 26, 2024 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark Mikkelson, RPH?
Mr. Mark Mikkelson, RPH is registered under the primary taxonomy Pharmacist, Oncology (code 1835X0200X), licensed in CT under license number 5784.
Where does Mr. Mark Mikkelson, RPH practice?
The practice location is 230 Waterford Pkwy S, Waterford, CT 06385-1219. The office can be reached at 860-271-4360 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215787676 directly on the NPPES registry website.