Individual
MR. JOEL T MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1725 NORTHPORT DR, MADISON, WI 53704-3025
(608) 241-7001
(608) 241-0539
Mailing address
1725 NORTHPORT DR, MADISON, WI 53704-3025
(608) 241-7001
(608) 241-0539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14123
WI
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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