Individual
ERICH MILGRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 S MACARTHUR BLVD, SPRINGFIELD, IL 62704-4522
(217) 744-1880
(217) 744-1432
Mailing address
2709 FOX RUN DR, APT 2, SPRINGFIELD, IL 62704-5944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293800
IL
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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