Provider Demographics
NPI:1780672766
Name:MILLIKAN, EDWARD DOYLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:DOYLE
Last Name:MILLIKAN
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 1:7272 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4836
Mailing Address - Country:US
Mailing Address - Phone:301-664-8679
Mailing Address - Fax:
Practice Address - Street 1:7272 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4836
Practice Address - Country:US
Practice Address - Phone:301-664-8679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20524183500000X
NC15301183500000X
CA51630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist