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 34 days ago.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