EDWIN M MICKELSON, RPH

NPI: 1962716282 · Individual · Active

Primary Specialty

Pharmacist

Practice Location

115 N 20TH AVE
CORNELIUS, OR 97113-7471 Map ↗
Phone: 503-357-0762
Fax: 503-357-0904

All Specialties & Licenses

  • Pharmacist Primary (license: RPH-0006856, OR)

NPI Registration

Enumerated: 2010-07-28

Last CMS Update: 2010-07-28