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NPI Code Detail

MEDICARE: MRS. DIANNE ELIZABETH MILLER R.PH.

MEDICARE:  MRS. DIANNE ELIZABETH MILLER  R.PH.
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
1183500000XPharmacist5302410883MI
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist5302410883MI

General Provider Information

NPI Number : 1790959401
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANNE ELIZABETH MILLER R.PH.
Provider Business Mailing Address
First Line : 815 N WASHINGTON AVE
Second Line :
City : LANSING
State : MI
Zip : 48906-5166
Country : US
Telephone Number : 517-484-1466
Fax Number : 517-484-4893
Provider Business Practice Location Address
First Line : 815 N WASHINGTON AVE
Second Line :
City : LANSING
State : MI
Zip : 48906-5166
Country : US
Telephone Number : 517-484-1466
Fax Number : 517-484-4893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2008
Last Update Date : 04/15/2008

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Directions to “ MRS. DIANNE ELIZABETH MILLER R.PH.” Practice Location

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