MEDICARE: AKERA 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
1	183500000X	Pharmacist	31767	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA	OTHER		NA

General Provider Information

NPI Number	:	1447977699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKERA MILLER PHARMD

Provider Business Mailing Address
First Line	:	508 N US 29 HWY
Second Line	:
City	:	CHINA GROVE
State	:	NC
Zip	:	28023-2614
Country	:	US
Telephone Number	:	704-857-0116
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 N US 29 HWY
Second Line	:
City	:	CHINA GROVE
State	:	NC
Zip	:	28023-2614
Country	:	US
Telephone Number	:	704-857-0116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2022
Last Update Date	:	10/27/2022

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Directions to “ AKERA MILLER PHARMD” Practice Location

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