Individual
ELIZABETH E MIELNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1163 PROVIDENCE RD, WHITINSVILLE, MA 01588-2119
(734) 150-8234
Mailing address
PO BOX 471, DOUGLAS, MA 01516-0471
(774) 482-0500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240396
MA
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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