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General NPI Number Information
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NPI Number | 1306881529
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Entity Type | Organization
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Legal Business Name | MILLERS PHARMACY
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 100 E DALLAS AVE
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City | COOPER
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State | TX
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Zip | 75432-2043
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Country | US
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Telephone | 903-395-2127
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Fax | 903-395-3160
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Provider Business Mailing Address
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Address Line | 100 E DALLAS AVE
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City | COOPER
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State | TX
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Zip | 75432-2043
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARION MILLER
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Credential |
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Telephone | 903-395-2127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 10636
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License Number State | TX
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