Provider Demographics
NPI:1447004536
Name:MILLER PHARMACEUTICAL CARE, LLC
Entity type:Organization
Organization Name:MILLER PHARMACEUTICAL CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-258-2068
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:ANTWERP
Mailing Address - State:OH
Mailing Address - Zip Code:45813-0246
Mailing Address - Country:US
Mailing Address - Phone:419-258-2068
Mailing Address - Fax:419-258-2444
Practice Address - Street 1:201 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ANTWERP
Practice Address - State:OH
Practice Address - Zip Code:45813-8512
Practice Address - Country:US
Practice Address - Phone:419-258-2068
Practice Address - Fax:419-258-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy