Provider Demographics
NPI:1265822381
Name:MILAN, KARA
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MILAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:852 ROUTE 1 # 85
Mailing Address - Street 2:UNIT AA-7
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-4669
Mailing Address - Country:US
Mailing Address - Phone:732-248-5499
Mailing Address - Fax:
Practice Address - Street 1:5000 HADLEY CENTER DR
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1140
Practice Address - Country:US
Practice Address - Phone:908-444-2024
Practice Address - Fax:908-941-1660
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RW02278300183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician