=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982327888
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARORY J MILYARD PHARMD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/26/2022
-----------------------------------------------------
Last Update Date | 09/26/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 442 W SIMS WAY
-----------------------------------------------------
City | PORT TOWNSEND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98368-1811
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-385-2806
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1181 NE SUNSET WAY
-----------------------------------------------------
City | POULSBO
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98370-9320
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-535-3798
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PH61317496
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------