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NPI Code Detail

MEDICARE: HEATHER M MILEK PHARM D

MEDICARE: HEATHER M MILEK PHARM D
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
1183500000XPharmacist14285-40WI

General Provider Information

NPI Number : 1366722068
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER M MILEK PHARM D
Provider Business Mailing Address
First Line : 4730 S 27TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-2602
Country : US
Telephone Number : 414-817-0641
Fax Number : 414-817-0724
Provider Business Practice Location Address
First Line : 4730 S 27TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-2602
Country : US
Telephone Number : 414-817-0641
Fax Number : 414-817-0724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2011
Last Update Date : 08/25/2011

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