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NPI Code Detail

MEDICARE: DR. HOLLY RAE MILLER PHARMD

MEDICARE: DR. HOLLY RAE 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
1183500000XPharmacist19788IA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03227749OH

General Provider Information

NPI Number : 1477566594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLLY RAE MILLER PHARMD
Provider Business Mailing Address
First Line : 10122 DAYFLOWER DR
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-3304
Country : US
Telephone Number : 330-425-8530
Fax Number :
Provider Business Practice Location Address
First Line : 10 SEVERANCE CIR
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1533
Country : US
Telephone Number : 216-297-2508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 11/24/2008

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