MEDICARE: MR. JAMES FLOYD MILLS RPH, MBA

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
1	183500000X	Pharmacist	03-3-22011	OH

General Provider Information

NPI Number	:	1336131226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES FLOYD MILLS RPH, MBA

Provider Business Mailing Address
First Line	:	200 BELLEBROOKE CT
Second Line	:
City	:	PATASKALA
State	:	OH
Zip	:	43062-7343
Country	:	US
Telephone Number	:	740-927-9126
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43223-1257
Country	:	US
Telephone Number	:	614-752-0150
Fax Number	:	614-752-0151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/08/2007

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