Individual
MARK MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 BARDSTOWN RD, LOUISVILLE, KY 40291-1911
(502) 239-6160
(502) 239-7970
Mailing address
5601 BARDSTOWN RD, LOUISVILLE, KY 40291-1911
(502) 239-6160
(502) 239-7970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007112
KY
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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