Nicolette S Maillis, PHARMD in Bayside, WI - Pharmacist

Nicolette S Maillis, PHARMD is a Pharmacist based in Bayside, Wisconsin. Nicolette S Maillis is licensed to practice in Wisconsin (license number 1338840) and her current practice location is 536 E Fairy Chasm Rd, Bayside, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 217-2388.

NPI number for Nicolette S Maillis is 1598101107 and her current mailing address is 536 E Fairy Chasm Rd, Bayside, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598101107.

Contact Information

	Nicolette S Maillis, PHARMD
	536 E Fairy Chasm Rd, Bayside, WI 53217-1810
	(414) 217-2388
	Not Available

Healthcare Provider's Profile

Full Name	Nicolette S Maillis
Gender	Female
Speciality	Pharmacist
Location	536 E Fairy Chasm Rd, Bayside, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1598101107
Provider Enumeration Date: 05/22/2013
Last Update Date: 05/22/2013

Medical Identifiers

Medical identifiers for Nicolette S Maillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598101107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	1338840 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolette S Maillis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicolette S Maillis, PHARMD 536 E Fairy Chasm Rd, Bayside, WI 53217-1810 Ph: (414) 217-2388	Nicolette S Maillis, PHARMD 536 E Fairy Chasm Rd, Bayside, WI 53217-1810 Ph: (414) 217-2388

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Nicolette S Maillis, PHARMD - Pharmacist in Bayside, WI