Individual
MR. GLEN GILBERT MILLIKAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 S. VANN AVE, EVANSVILLE, IN 47714
(812) 471-7575
(812) 469-7438
Mailing address
1840 BRIAR RIDGE RD, EVANSVILLE, IN 47725-9215
(812) 471-7575
(812) 469-7438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015877A
IN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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