Individual
DR. JORDAN CHRISTOPHER MILLHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2275A N MAYFAIR RD, WAUWATOSA, WI 53226-2207
(414) 456-1701
(414) 456-1709
Mailing address
2036 N PROSPECT AVE, #706, MILWAUKEE, WI 53202-1260
(314) 482-5249
(414) 456-1709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.295678
IL
183500000X
Pharmacist
Primary
16626-40
WI
183500000X
Pharmacist
2008018173
MO
Other
Enumeration date
03/16/2013
Last updated
03/16/2013
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