Provider Demographics
NPI:1821162124
Name:MILLS, JANET MORIARTY (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:MORIARTY
Last Name:MILLS
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:401 E CHESTNUT ST
Mailing Address - Street 2:SUITE #180
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-5700
Mailing Address - Country:US
Mailing Address - Phone:502-813-6104
Mailing Address - Fax:502-813-6108
Practice Address - Street 1:401 E CHESTNUT ST
Practice Address - Street 2:SUITE #180
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-5700
Practice Address - Country:US
Practice Address - Phone:502-813-6104
Practice Address - Fax:502-813-6108
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY0123511835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy