Provider Demographics
NPI:1558610337
Name:HAYES-MILLIGAN, BRAD JIMMIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:JIMMIE
Last Name:HAYES-MILLIGAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 WILL ROGERS PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73108-1826
Mailing Address - Country:US
Mailing Address - Phone:405-948-4602
Mailing Address - Fax:405-512-6900
Practice Address - Street 1:4350 WILL ROGERS PKWY
Practice Address - Street 2:STE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73108-1826
Practice Address - Country:US
Practice Address - Phone:405-948-4602
Practice Address - Fax:405-512-6900
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK127371835G0303X
TX419851835G0303X
WAPH572151835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric