Millard, Brent Alan

Millard, Brent Alan is an sole proprietor health care provider with primary practice located at 1207 West Broadway Ave , Forest Lake MN 55025. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Millard, Brent Alan can be contacted via phone (651) 255-1887.

Contact Information

Primary practice address
1207 West Broadway Ave Forest Lake MN 55025
Phone: (651) 255-1887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X MN115249 Minnesota

Profile Details

NPI number 1669754735
LBN Legal business name Millard, Brent Alan
Credentials R.PH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2011
Last updated Sep 15th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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