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NPI Code Detail

MEDICARE: MARY E. MILLS R.PH.

MEDICARE: MARY E. MILLS R.PH.
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
1183500000XPharmacist36-12044OH

General Provider Information

NPI Number : 1033199351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY E. MILLS R.PH.
Provider Business Mailing Address
First Line : 11436 BRYANT RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-9622
Country : US
Telephone Number : 740-397-5306
Fax Number :
Provider Business Practice Location Address
First Line : 207 W HIGH ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2427
Country : US
Telephone Number : 740-397-8115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/08/2007

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Directions to “ MARY E. MILLS R.PH.” Practice Location

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