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General NPI Number Information
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NPI Number | 1952025975
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Entity Type | Individual
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Provider Name | HEATH R MILLER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 2345 E MARKLAND AVE
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City | KOKOMO
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State | IN
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Zip | 46901-6245
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Country | US
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Telephone | 260-868-4798
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Fax |
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Provider Business Mailing Address
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Address Line | 825 RAINBOW DR
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City | KOKOMO
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State | IN
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Zip | 46902-3699
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Country | US
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Telephone | 260-370-1996
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | IN
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