MEDICARE: MR. STEVEN ALAN MILLER BSC

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
1	183500000X	Pharmacist	RP029088L	PA

General Provider Information

NPI Number	:	1083895841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN ALAN MILLER BSC

Provider Business Mailing Address
First Line	:	27 BRIARWOOD LANE
Second Line	:
City	:	EPHRATA
State	:	PA
Zip	:	17522-9281
Country	:	US
Telephone Number	:	717-664-0144
Fax Number	:	717-664-0146

Provider Business Practice Location Address
First Line	:	2124 TOWN SQUARE NORTH
Second Line	:
City	:	MANHEIM
State	:	PA
Zip	:	17545
Country	:	US
Telephone Number	:	717-664-0144
Fax Number	:	717-664-0146

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	11/21/2007

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