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General NPI Number Information
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NPI Number | 1659349470
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Entity Type | Organization
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Legal Business Name | MILLER'S PHARMACY
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8 E MAIN ST
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City | BUCKHANNON
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State | WV
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Zip | 26201-2753
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Country | US
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Telephone | 304-472-1484
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Fax | 304-472-1573
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Provider Business Mailing Address
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Address Line | 8 E MAIN ST
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City | BUCKHANNON
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State | WV
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Zip | 26201-2753
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Country | US
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Telephone | 304-472-1484
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Fax | 304-472-1573
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. JOHN EDWIN MILLER
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Credential |
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Telephone | 304-472-1484
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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 | SP0550186
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License Number State | WV
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