Individual
DR. BLAKELY A MILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
21720 CATAWBA AVE, CORNELIUS, NC 28031-0150
(704) 895-5773
(704) 896-7724
Mailing address
303 E WATERLYNN RD, MOORESVILLE, NC 28115-8027
(910) 431-6980
(704) 896-7724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24167
NC
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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