Provider Demographics
NPI:1780715284
Name:MICHALSKI, RICK ANTHONY (RPH)
Entity type:Individual
Prefix:MR
First Name:RICK
Middle Name:ANTHONY
Last Name:MICHALSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 S LAWLER AVE
Mailing Address - Street 2:
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-1223
Mailing Address - Country:US
Mailing Address - Phone:414-744-1851
Mailing Address - Fax:414-744-1951
Practice Address - Street 1:4525 S LAWLER AVE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-1223
Practice Address - Country:US
Practice Address - Phone:414-744-1851
Practice Address - Fax:414-744-1951
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10225-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist