| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHARLES ANTHONY MIKULKA | 1740884683 | 2020-11-22 |
Charles Anthony Mikulka is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740884683. Registration indicates Charles Anthony Mikulka is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Charles Anthony Mikulka Jr. |
| Practice Office Address | 441 W MAIN ST MOUNT JOY, PA US |
| Practice Office Telephone | 7176535298 |
| Practice Office Fax | 7176532849 |
| Mailing Address | 441 W MAIN ST MOUNT JOY, PA 175521228 US |
| Business Telephone | 7176535298 |
| Business Fax | 7176532849 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | RP040215L
PA |