Provider Demographics
NPI:1134664212
Name:HEARNS, MILINDA (RPH)
Entity Type:Individual
Prefix:
First Name:MILINDA
Middle Name:
Last Name:HEARNS
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 1:1575 PAUL RUSSELL RD
Mailing Address - Street 2:UNIT 1702
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-1630
Mailing Address - Country:US
Mailing Address - Phone:904-386-1368
Mailing Address - Fax:850-270-9449
Practice Address - Street 1:1950 COMMONWEALTH LN
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3196
Practice Address - Country:US
Practice Address - Phone:850-504-6262
Practice Address - Fax:850-504-6262
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS00325181835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist