Provider Demographics
NPI:1255749859
Name:MILLS, WHITNEY (PHARMD)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 220TH AVE
Mailing Address - Street 2:
Mailing Address - City:TITONKA
Mailing Address - State:IA
Mailing Address - Zip Code:50480-7029
Mailing Address - Country:US
Mailing Address - Phone:515-227-0656
Mailing Address - Fax:
Practice Address - Street 1:1251 4TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2710
Practice Address - Country:US
Practice Address - Phone:641-423-2035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-27
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22285183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA22285OtherLICENSE NUMBER