Provider Demographics
NPI:1235565508
Name:MILANOWSKI, HOLLY ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANN
Last Name:MILANOWSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 S 60TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53219-3151
Mailing Address - Country:US
Mailing Address - Phone:414-541-2400
Mailing Address - Fax:414-543-2121
Practice Address - Street 1:2700 S 60TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53219-3151
Practice Address - Country:US
Practice Address - Phone:414-541-2400
Practice Address - Fax:414-543-2121
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16266-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist