Provider Demographics
NPI:1790799989
Name:MONE, MICHAEL A (BS PHARM, JD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:MONE
Suffix:
Gender:M
Credentials:BS PHARM, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 CARDINAL PL
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1091
Mailing Address - Country:US
Mailing Address - Phone:614-757-5104
Mailing Address - Fax:
Practice Address - Street 1:7000 CARDINAL PL
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1091
Practice Address - Country:US
Practice Address - Phone:614-757-5104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist