Healthcare Provider Details

I. General information

NPI: 1720196223
Provider Name (Legal Business Name): STEPHEN WAYNE MILSTEAD PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CHELSEA CORS
CHELSEA AL
35043-7402
US

IV. Provider business mailing address

1033 FOREST BROOK DR
BIRMINGHAM AL
35226-3222
US

V. Phone/Fax

Practice location:
  • Phone: 205-678-8878
  • Fax:
Mailing address:
  • Phone: 205-862-6957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14407
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: