MEDICARE: MARILYN MILNER

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	3940	SD

General Provider Information

NPI Number	:	1437145885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN MILNER

Provider Business Mailing Address
First Line	:	12539 SADDLE COURT
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-7414
Country	:	US
Telephone Number	:	605-745-7806
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 HIGHWAY 18 W
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-6601
Country	:	US
Telephone Number	:	605-745-4681
Fax Number	:

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	07/08/2007

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Directions to “ MARILYN MILNER ” Practice Location

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