Provider Demographics
NPI:1598712325
Name:MILNE, NED PATRICK (RPH)
Entity Type:Individual
Prefix:MR
First Name:NED
Middle Name:PATRICK
Last Name:MILNE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2356 W LONG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-9061
Mailing Address - Country:US
Mailing Address - Phone:231-946-5891
Mailing Address - Fax:231-935-8741
Practice Address - Street 1:550 MUNSON AVE
Practice Address - Street 2:SUITE G-100
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3580
Practice Address - Country:US
Practice Address - Phone:231-935-8736
Practice Address - Fax:231-935-8730
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302021582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist