Healthcare Provider Details

I. General information

NPI: 1932269172
Provider Name (Legal Business Name): MIKES PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/06/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 WEST FRANKLIN STREET
WOMELSDORF PA
19567
US

IV. Provider business mailing address

543 WEST FRANKLIN STREET
WOMELSDORF PA
19567
US

V. Phone/Fax

Practice location:
  • Phone: 610-628-3895
  • Fax: 223-488-6250
Mailing address:
  • Phone: 610-628-3895
  • Fax: 223-488-6250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL JOSEPH ZERBE
Title or Position: PHARMACIST/OWNER
Credential: RPH
Phone: 610-628-3895