Individual
MR. MICHAEL JAY MILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., J.D.
Contact information
Practice address
7373 BOSTON BLVD, PHARMACY, FAIRFAX STATION, VA 22039-1926
(703) 249-0011
Mailing address
7373 BOSTON BLVD, PHARMACY, FAIRFAX STATION, VA 22039-1926
(703) 249-0011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011615
VA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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