Provider Demographics
NPI:1871789990
Name:MILES, BRIAN K (RPH)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:K
Last Name:MILES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:EIGHTY FOUR
Mailing Address - State:PA
Mailing Address - Zip Code:15330-0098
Mailing Address - Country:US
Mailing Address - Phone:724-222-2512
Mailing Address - Fax:724-222-2527
Practice Address - Street 1:27 MARKET ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-1787
Practice Address - Country:US
Practice Address - Phone:724-785-7095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040917L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist