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Individual

MICHAEL MACMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 268-4302
Mailing address
7655 HOLLYWOOD BLVD APT 2, LOS ANGELES, CA 90046-2734
(612) 618-1371

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
120944
MN

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
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