Provider Demographics
NPI:1477612471
Name:MILEX DRUG INC
Entity Type:Organization
Organization Name:MILEX DRUG INC
Other - Org Name:MILEX DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHRM
Authorized Official - Phone:585-538-6140
Mailing Address - Street 1:3130 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14423-1218
Mailing Address - Country:US
Mailing Address - Phone:585-538-6140
Mailing Address - Fax:585-538-9681
Practice Address - Street 1:3130 MAIN ST
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:NY
Practice Address - Zip Code:14423-1218
Practice Address - Country:US
Practice Address - Phone:585-538-6140
Practice Address - Fax:585-538-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0126903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2064592OtherPK
NY00459852Medicaid
NY00459852Medicaid