Healthcare Provider Details

I. General information

NPI: 1104741727
Provider Name (Legal Business Name): JOHN ALLEN MILLER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1397 LEESBURG AVE
WASHINGTON COURT HOUSE OH
43160-8655
US

IV. Provider business mailing address

1397 LEESBURG AVE
WASHINGTON COURT HOUSE OH
43160-8655
US

V. Phone/Fax

Practice location:
  • Phone: 740-333-3171
  • Fax:
Mailing address:
  • Phone: 740-333-3171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03322627
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: