=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518688738
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT JUSTIN MILLER PHARMD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/06/2022
-----------------------------------------------------
Last Update Date | 08/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 28528 MARLBORO AVE
-----------------------------------------------------
City | EASTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-690-7207
-----------------------------------------------------
Fax | 410-690-7209
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5223 BETHLEHEM RD
-----------------------------------------------------
City | PRESTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21655-2230
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-521-3238
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 28791
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------