Provider Demographics
NPI:1679876221
Name:MIHALEK, JOSEPH EDWARD III (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:EDWARD
Last Name:MIHALEK
Suffix:III
Gender:M
Credentials:RPH
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Mailing Address - Street 1:1 GUTHRIE SQUARE SUITE EC101
Mailing Address - Street 2:ROBERT PACKER HOSPITAL D/B/A CLINIC PHARMACY
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840
Mailing Address - Country:US
Mailing Address - Phone:570-887-2800
Mailing Address - Fax:570-887-2827
Practice Address - Street 1:1 GUTHRIE SQ
Practice Address - Street 2:SUITE EC101
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1625
Practice Address - Country:US
Practice Address - Phone:570-887-2800
Practice Address - Fax:570-887-2827
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARP043420L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist