Individual
DR. JODY SUE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
129 CLEARWATER WAY, RANCHO MIRAGE, CA 92270-1754
(909) 855-2450
(928) 453-0926
Mailing address
2275 PIMA DR S, LAKE HAVASU CITY, AZ 86403-5040
(909) 855-2450
(928) 453-0926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
47598
CA
1835G0303X
Geriatric Pharmacist
Primary
47598
CA
1835P1200X
Pharmacotherapy Pharmacist
47598
CA
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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