Provider Demographics
NPI:1053303875
Name:MILANICH, ELAINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:
Last Name:MILANICH
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 1:8442 SETTLERS PSGE
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1732
Mailing Address - Country:US
Mailing Address - Phone:440-746-1886
Mailing Address - Fax:440-746-1887
Practice Address - Street 1:403 KEN MAR INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:BROADVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44147-2956
Practice Address - Country:US
Practice Address - Phone:440-717-5001
Practice Address - Fax:440-717-5015
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-16145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist