Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Mikkelson, RPH

Individual provider Oncology Pharmacist · NPI 1215787676

Mr. Mark Mikkelson, RPH is an Oncology Pharmacist in Waterford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2024.

Licensed in
CT
In the registry since
2024
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

230 Waterford Pkwy S
Waterford, CT 06385-1219
Phone: (860) 271-4360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oncology Pharmacist (primary) Taxonomy 1835X0200X · Licence 5784 (CT)

Record details

NPI number1215787676
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address230 Waterford Pkwy S, Waterford, CT 06385-1219

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