MEDICARE: SUSAN BROWN MILLER 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
1	183500000X	Pharmacist	4632	SC

General Provider Information

NPI Number	:	1700398468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN BROWN MILLER RPH

Provider Business Mailing Address
First Line	:	PO BOX 337
Second Line	:
City	:	YORK
State	:	SC
Zip	:	29745-0337
Country	:	US
Telephone Number	:	803-684-3320
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 E LIBERTY ST STE B
Second Line	:
City	:	YORK
State	:	SC
Zip	:	29745-3501
Country	:	US
Telephone Number	:	803-628-7934
Fax Number	:

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

Provider Enumeration Date	:	11/02/2017
Last Update Date	:	11/02/2017

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Directions to “ SUSAN BROWN MILLER RPH” Practice Location

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