Individual
ANGELA MICHELLE MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PD
Contact information
Practice address
702 SW 8TH ST, BENTONVILLE, AR 72712-6209
(479) 273-4141
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72712-6209
(479) 273-4141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08435
AR
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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