Organization
MILLENNIUM PHYSICIAN GROUP LLC
Active
Other names
Millennium Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HALTIGAN (DIRECTOR OF REVENUE CYCLE MGMNT)
(877) 856-3774
Entity
Organization
Contact information
Practice address
19531 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-2081
(855) 674-7600
(855) 674-7601
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 26900
FL
Other
Enumeration date
06/26/2013
Last updated
03/07/2023
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