=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013900083
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MILEE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2005
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1299 E MORGAN ST
-----------------------------------------------------
City | MARTINSVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46151-1748
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-342-1801
-----------------------------------------------------
Fax | 765-342-1701
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1299 E MORGAN ST
-----------------------------------------------------
City | MARTINSVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46151-1748
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-342-1801
-----------------------------------------------------
Fax | 765-342-1701
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MAHENDRAKUMAR B PATEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 765-342-1801
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 60006284A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------