Kellie Jo Milich PHARM D

NPI 1780865501 - Pharmacist - 183500000X

NPI Details
NPI 1780865501
Gender Female
Enumeration Date 11/20/2007
Last Updated 09/18/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
MASKIKI WAAKAAIGAN
1433 E. FRANKLIN AVENUE SUITE 11 & 13B
MINNEAPOLIS MN, 55404, US
Phone (612) 874-9128
Fax (612) 874-9128
Business Location
FOND DU LAC HUMAN SERVICES DIVISION
927 TRETTEL LANE
CLOQUET MN, 55720, US
Phone (218) 879-1227
Fax (218) 878-2188
Toxanomy
Taxonomy Code 183500000X
License State Minnesota
License Number 118954
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According to our database, Kellie Jo Milich PHARM D NPI is 1780865501, taxonomy code is 183500000X and license number is 118954, license state is located at Minnesota. Kellie Jo Milich PHARM D physically located at Maskiki Waakaaigan, Minneapolis MN, 55404. NPI Number Kellie Jo Milich PHARM D has the Individual type.

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1780865501 NPI number is provided on an as is basis without warranty of any kind. 1780865501 is maintained by the National Plan & Provider Enumeration System. The contents of Kellie Jo Milich PHARM D are for informational purposes only.