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NPI Code Detail

MEDICARE: MARIE DULIANE MILORD-JEANGILLES RPH

MEDICARE:   MARIE DULIANE MILORD-JEANGILLES  RPH
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
1183500000XPharmacist043564-1NY

General Provider Information

NPI Number : 1598815979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE DULIANE MILORD-JEANGILLES RPH
Provider Business Mailing Address
First Line : 1284 E 88TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4916
Country : US
Telephone Number : 718-209-6577
Fax Number :
Provider Business Practice Location Address
First Line : 1284 E 88TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4916
Country : US
Telephone Number : 718-209-6577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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Directions to “ MARIE DULIANE MILORD-JEANGILLES RPH” Practice Location

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