Provider Demographics
NPI:1184069023
Name:MILLIGAN, ANN M (RPH)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N WISCONSIN ST
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-2735
Mailing Address - Country:US
Mailing Address - Phone:920-336-2323
Mailing Address - Fax:920-336-2186
Practice Address - Street 1:230 N WISCONSIN ST
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-2735
Practice Address - Country:US
Practice Address - Phone:920-336-2323
Practice Address - Fax:920-336-2186
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI113351835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy