Provider Demographics
NPI:1750794038
Name:FILIPKOWSKI, MICHAEL JOHN (RPH)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOHN
Last Name:FILIPKOWSKI
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 1:3517 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507-1729
Mailing Address - Country:US
Mailing Address - Phone:570-604-0409
Mailing Address - Fax:
Practice Address - Street 1:4400 PENNELL RD
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-3032
Practice Address - Country:US
Practice Address - Phone:610-494-2055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist