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Dr. Mikhil Joseph, PharmD

Pharmacist in Fort Campbell, KY. Individual provider (NPI-1).

NPI number1477210490
StatusActive
Last updated in NPPESNov 24, 2021

Details

NPI
1477210490
Entity type
Individual (NPI-1)
Name
Dr. Mikhil Joseph
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 24, 2021
Certification date
Nov 24, 2021
Last updated
Nov 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS51261FLYes

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone 904-718-7352

Mailing address

1153 Chinook Cir
Clarksville, TN 37042-8235

Phone 904-718-7352

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