Individual
NANCY MILLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E ROSS ST, CLEARWATER, KS 67026-7849
(620) 584-4044
(620) 584-4044
Mailing address
1809 E ELK RIDGE AVE, GODDARD, KS 67052-8551
(785) 466-6810
(620) 584-4044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11695
KS
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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