Individual
GARY W MILLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 321-6855
Mailing address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 321-6855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027938
GA
Other
Enumeration date
07/21/2014
Last updated
09/18/2021
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