Provider Demographics
NPI:1134100480
Name:MILLIGAN, JAMES A (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:MILLIGAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3579 LLOYD RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-4679
Mailing Address - Country:US
Mailing Address - Phone:216-941-2626
Mailing Address - Fax:440-878-3148
Practice Address - Street 1:16761 SOUTHPARK CTR
Practice Address - Street 2:CLEVELAND CLINIC PHARMACY
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-9302
Practice Address - Country:US
Practice Address - Phone:440-878-3125
Practice Address - Fax:440-878-3148
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-19918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist