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NPI Code Detail

MEDICARE: JENNIFER MILLER PHARMD

MEDICARE:   JENNIFER  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
1183500000XPharmacist10132SC

General Provider Information

NPI Number : 1649681941
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MILLER PHARMD
Provider Business Mailing Address
First Line : 2401 AUGUSTA RD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4543
Country : US
Telephone Number : 803-358-9486
Fax Number :
Provider Business Practice Location Address
First Line : 2410 AUGUSTA RD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4582
Country : US
Telephone Number : 803-358-9486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2014
Last Update Date : 05/09/2014

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Directions to “ JENNIFER MILLER PHARMD” Practice Location

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