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General NPI Number Information
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NPI Number | 1336248376
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Entity Type | Organization
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Legal Business Name | MILES DRUG COMPANY
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 122 N EAST ST
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City | ATLANTA
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State | TX
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Zip | 75551
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Country | US
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Telephone | 903-796-2815
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Fax | 903-796-0821
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Provider Business Mailing Address
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Address Line | PO BOX 150 122 N EAST ST
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City | ATLANTA
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State | TX
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Zip | 75551
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Country | US
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Telephone | 903-796-2815
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Fax | 903-796-0821
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. ROBERT L MILES
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Credential |
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Telephone | 903-796-2815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11264
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 01282
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License Number State | TX
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