Healthcare Provider Details

I. General information

NPI: 1497744064
Provider Name (Legal Business Name): ERIC JOHN MILADIN R.PH.,C.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 SHEFFIELD RD SUITE B
ALIQUIPPA PA
15001-2758
US

IV. Provider business mailing address

306 BROHIOS DR
MONACA PA
15061-3025
US

V. Phone/Fax

Practice location:
  • Phone: 800-850-3396
  • Fax:
Mailing address:
  • Phone: 724-462-4110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP036725L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: