Individual
DEBRA L MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
815 HAZELWEST DR STE 100, HAZELWOOD, MO 63042-1762
(314) 895-3300
(314) 451-8585
Mailing address
7025 HOWDERSHELL RD, SUITE K, HAZELWOOD, MO 63042-3811
(314) 895-3300
(314) 895-3216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041073
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606786705
—
MO
Enumeration date
05/15/2007
Last updated
04/21/2021
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