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NPI Code Detail

MEDICARE: RYAN MILLER PHARMD

MEDICARE: RYAN MILLER PHARMD
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
11835X0200XOncology Pharmacist41691TN

General Provider Information

NPI Number : 1376101485
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN MILLER PHARMD
Provider Business Mailing Address
First Line : 2700 CHARLOTTE AVE APT 248
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4081
Country : US
Telephone Number : 608-792-8967
Fax Number :
Provider Business Practice Location Address
First Line : 1301 MEDICAL CENTER DR STE 3907
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0028
Country : US
Telephone Number : 608-792-8967
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2019
Last Update Date : 06/04/2019

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