Michael Stephen Mikula, R.PH.
Individual provider Active NPI Pharmacist · Toronto, OH
NPI 1457643264 · NPPES record last updated May 11, 2011
Key facts
- NPI
- 1457643264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03226694 (OH)
- Practice address
- 1820 Franklin St
Toronto, OH 43964-1949 - Phone
- (740) 537-9425
- NPI assigned
- May 11, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03226694 | OH | MD | Pharmacist |
| RP0005842 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03226694 | OH | Yes |
| Pharmacist | 183500000X | RP0005842 | WV |
Addresses
Primary practice location
1820 Franklin St
Toronto, OH 43964-1949
Mailing address
1820 Franklin St
Toronto, OH 43964-1949
Phone (740) 537-9425
Other providers in Toronto, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.