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NPI Code Detail

MEDICARE: MR. DWIGHT BEVERLEY MILLER R.PH.

MEDICARE: MR. DWIGHT BEVERLEY MILLER R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202004244VA

General Provider Information

NPI Number : 1184610826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DWIGHT BEVERLEY MILLER R.PH.
Provider Business Mailing Address
First Line : 108 PLANKWOOD CT
Second Line :
City : STEPHENS CITY
State : VA
Zip : 22655-2920
Country : US
Telephone Number : 540-869-7919
Fax Number :
Provider Business Practice Location Address
First Line : 108 PLANKWOOD CT
Second Line :
City : STEPHENS CITY
State : VA
Zip : 22655-2920
Country : US
Telephone Number : 540-869-7919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 07/08/2007

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