Healthcare Provider Details

I. General information

NPI: 1023095239
Provider Name (Legal Business Name): KATE DARRAH MILLER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N CONGRESS BLVD
SMITHVILLE TN
37166-2704
US

IV. Provider business mailing address

300 N CONGRESS BLVD P.O. BOX 128
SMITHVILLE TN
37166-2704
US

V. Phone/Fax

Practice location:
  • Phone: 615-597-4988
  • Fax: 615-597-1573
Mailing address:
  • Phone: 615-597-4988
  • Fax: 615-597-1573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10557
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: