Provider Demographics
NPI:1578859468
Name:FILIPKOWSKI, MICHAEL SR (RPH)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:FILIPKOWSKI
Suffix:SR
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 1:4567 RIVER CITY DR
Mailing Address - Street 2:T-1974
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-7411
Mailing Address - Country:US
Mailing Address - Phone:904-596-0021
Mailing Address - Fax:904-596-0021
Practice Address - Street 1:4567 RIVER CITY DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-7411
Practice Address - Country:US
Practice Address - Phone:904-596-0021
Practice Address - Fax:904-596-0021
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS23423183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist