Provider Demographics
NPI:1043047491
Name:MILLIGAN, PATRICIA A (RPH)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18900 BARNESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DICKERSON
Mailing Address - State:MD
Mailing Address - Zip Code:20842-9737
Mailing Address - Country:US
Mailing Address - Phone:202-384-4146
Mailing Address - Fax:
Practice Address - Street 1:18900 BARNESVILLE RD
Practice Address - Street 2:
Practice Address - City:DICKERSON
Practice Address - State:MD
Practice Address - Zip Code:20842-9737
Practice Address - Country:US
Practice Address - Phone:202-384-4146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist