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NPI Code Detail

MEDICARE: GARY MILHORN II

MEDICARE:   GARY  MILHORN II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist9243SC

General Provider Information

NPI Number : 1396293148
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY MILHORN II
Provider Business Mailing Address
First Line : 503 CHESTER AVE STE A
Second Line :
City : GREAT FALLS
State : SC
Zip : 29055
Country : US
Telephone Number : 803-482-2249
Fax Number : 803-482-3349
Provider Business Practice Location Address
First Line : 503 CHESTER AVE STE A
Second Line :
City : GREAT FALLS
State : SC
Zip : 29055-1207
Country : US
Telephone Number : 803-482-2249
Fax Number : 803-482-3349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2016
Last Update Date : 09/21/2016

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Directions to “ GARY MILHORN II ” Practice Location

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