Provider Demographics
NPI:1992451967
Name:KLIMAVICIUTE, MILETA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MILETA
Middle Name:
Last Name:KLIMAVICIUTE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MILETA
Other - Middle Name:
Other - Last Name:KEMEZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7535 W MANITOBA DR
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-2019
Mailing Address - Country:US
Mailing Address - Phone:708-253-7801
Mailing Address - Fax:
Practice Address - Street 1:7535 W MANITOBA DR
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-2019
Practice Address - Country:US
Practice Address - Phone:708-253-7801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.289544183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist