Individual ProviderNicholas A MilazzoPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809(707) 423-7264(707) 673-2874PECOS EnrollmentBased on the most recent information from CMS, provider Nicholas A Milazzo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1245388560Provider TypeIndividualFull NameMilazzo, Nicholas AGenderMaleSole ProprietorNoEnumeration Date1/5/2007Last Updated11/8/2011Contact InformationPractice LocationPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7264FaxUnlisted FaxMailing LocationMailing Address1782 Lehi Ct, Fairfield, CA 94534-2927Phone(707) 673-2874FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense11793ArizonaCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense051288673Illinois