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NPI Code Detail

MEDICARE: LORI ANN MILLER RPH

MEDICARE: LORI ANN MILLER RPH
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
1183500000XPharmacist52367FL
2183500000XPharmacist041839MO

General Provider Information

NPI Number : 1518567189
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI ANN MILLER RPH
Provider Business Mailing Address
First Line : 13 MILBARK CT
Second Line :
City : HOMOSASSA
State : FL
Zip : 34446-4108
Country : US
Telephone Number : 573-836-3538
Fax Number :
Provider Business Practice Location Address
First Line : 8701 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-5349
Country : US
Telephone Number : 727-846-1093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2020
Last Update Date : 10/31/2020

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