Provider Demographics
NPI:1205129038
Name:ENGLISH, MIKA SUE (RPH)
Entity type:Individual
Prefix:MRS
First Name:MIKA
Middle Name:SUE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8536 SPECTRUM DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5863
Mailing Address - Country:US
Mailing Address - Phone:972-658-0244
Mailing Address - Fax:903-482-6851
Practice Address - Street 1:232 EAST JEFFERSON
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495
Practice Address - Country:US
Practice Address - Phone:903-482-5279
Practice Address - Fax:903-482-6851
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist