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NPI Code Detail

MEDICARE: DR. KYLE MATTHEW MILLER PHARMD, RPH

MEDICARE: DR. KYLE MATTHEW MILLER PHARMD, RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03326858OH

General Provider Information

NPI Number : 1003191347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE MATTHEW MILLER PHARMD, RPH
Provider Business Mailing Address
First Line : PO BOX 471
Second Line : 205 CRIMSON CT
City : OTTOVILLE
State : OH
Zip : 45876-0471
Country : US
Telephone Number : 937-620-3074
Fax Number :
Provider Business Practice Location Address
First Line : 701 N CABLE RD
Second Line :
City : LIMA
State : OH
Zip : 45805-1737
Country : US
Telephone Number : 419-222-9462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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