Individual provider · Type 1 NPI

Jenna Marie Mickonis, RPH

Pharmacist · Bethlehem, PA

NPI number 1669075230 Active

Practice location

2651 Easton Ave
Bethlehem, PA 18017-5015

Call (610) 865-3671 Map

Mailing address

3000 Birchwood Cir Apt 314
Bethlehem, PA 18020-4563

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP452666 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1669075230

Jenna Marie Mickonis, RPH's National Provider Identifier is 1669075230, issued on Nov 17, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bethlehem, PA. The record was last updated on Nov 17, 2020.