Healthcare Provider Details

I. General information

NPI: 1821075888
Provider Name (Legal Business Name): SARAH E MILLER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 HIGHWAY 192 W
LONDON KY
40741-1675
US

IV. Provider business mailing address

2524 E HIGHWAY 1376
EAST BERNSTADT KY
40729-6339
US

V. Phone/Fax

Practice location:
  • Phone: 606-878-1568
  • Fax:
Mailing address:
  • Phone: 606-843-2867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number012536
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: