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NPI Code Detail

MEDICARE: LYNN CARROLL MILLER RPH

MEDICARE:   LYNN CARROLL 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
1183500000XPharmacistRP0002805WV

General Provider Information

NPI Number : 1689965709
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN CARROLL MILLER RPH
Provider Business Mailing Address
First Line : PO BOX 521
Second Line :
City : BERKELEY SPRINGS
State : WV
Zip : 25411-0521
Country : US
Telephone Number : 304-258-4955
Fax Number : 304-258-8153
Provider Business Practice Location Address
First Line : 8 GAYLE DR
Second Line :
City : BERKELEY SPRINGS
State : WV
Zip : 25411-6300
Country : US
Telephone Number : 304-258-4955
Fax Number : 304-258-8153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2011
Last Update Date : 04/23/2011

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Directions to “ LYNN CARROLL MILLER RPH” Practice Location

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