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NPI Code Detail

MEDICARE: EMILY MIKULAS PHARMD

MEDICARE: EMILY MIKULAS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist43327TX

General Provider Information

NPI Number : 1417230780
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MIKULAS PHARMD
Provider Business Mailing Address
First Line : 1105 GOLIAD RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1838
Country : US
Telephone Number : 210-533-7602
Fax Number : 210-533-3916
Provider Business Practice Location Address
First Line : 1105 GOLIAD RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1838
Country : US
Telephone Number : 210-533-7602
Fax Number : 210-533-3916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2011
Last Update Date : 09/23/2011

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Directions to “ EMILY MIKULAS PHARMD” Practice Location

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