Provider Demographics
NPI:1669766762
Name:MILLS, SANDI L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SANDI
Middle Name:L
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 1:2120 APALACHEE PKWY
Mailing Address - Street 2:T-0844
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-4819
Mailing Address - Country:US
Mailing Address - Phone:850-671-2049
Mailing Address - Fax:850-671-2049
Practice Address - Street 1:2120 APALACHEE PKWY
Practice Address - Street 2:T-0844
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4819
Practice Address - Country:US
Practice Address - Phone:850-671-2049
Practice Address - Fax:850-671-2049
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist