Healthcare Provider Details

I. General information

NPI: 1588281034
Provider Name (Legal Business Name): JOSHUA WILSON MILLER PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

558 PITTSBURGH ST
MARS PA
16046-2608
US

IV. Provider business mailing address

558 PITTSBURGH ST
MARS PA
16046-2608
US

V. Phone/Fax

Practice location:
  • Phone: 724-625-5577
  • Fax: 724-625-5570
Mailing address:
  • Phone: 724-625-5577
  • Fax: 724-625-5570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP450638
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: