| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MITCHELL KISAMORE | 1003490798 | 2021-05-08 |
Mitchell Kisamore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003490798. Registration indicates Mitchell Kisamore is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Mitchell Kisamore |
| Practice Office Address | 2630 BAILEY RD CUYAHOGA FALLS, OH US |
| Practice Office Telephone | 3309235766 |
| Mailing Address | 2630 BAILEY RD CUYAHOGA FALLS, OH 442212216 US |
| Business Telephone | 3309235766 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 03439726
OH |