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General NPI Number Information
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NPI Number | 1508909631
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Entity Type | Individual
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Provider Name | PAULA ANN MILLER RPH
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3712 WINSTON AVE
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City | COVINGTON
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State | KY
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Zip | 41015-1469
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Country | US
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Telephone | 859-261-0605
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Fax | 859-261-0827
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Provider Business Mailing Address
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Address Line | 32 E VERNON LN
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City | FORT THOMAS
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State | KY
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Zip | 41075-1905
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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 |
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Name |
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Credential |
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Telephone |
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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 | 9567
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License Number State | KY
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