MEDICARE: JULIA ANN 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	28RIO4034100	NJ

General Provider Information

NPI Number	:	1740885706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANN MILLER PHARMD

Provider Business Mailing Address
First Line	:	2504 DELAWARE AVE
Second Line	:
City	:	WILDWOOD
State	:	NJ
Zip	:	08260-2548
Country	:	US
Telephone Number	:	609-729-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2504 DELAWARE AVE
Second Line	:
City	:	WILDWOOD
State	:	NJ
Zip	:	08260-2548
Country	:	US
Telephone Number	:	609-729-5300
Fax Number	:

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

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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