Individual
RODRICK ANTONIO MILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD STUDENT
Contact information
Practice address
2100 GARDINER LN, LOUISVILLE, KY 40205
(502) 413-8640
Mailing address
2100 GARDINER LN, LOUISVILLE, KY 40205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I15014
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2282
—
KY
05
—
2282828222
—
KY
Enumeration date
11/15/2021
Last updated
11/15/2021
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