MEDICARE: MRS. ANGELA SUE 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
1	183500000X	Pharmacist	03-1-20457	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3668970	OTHER	OH	NABP/NCPDP
2	311140899026	OTHER	OH	CARESOURCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801815568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA SUE MILLER RPH

Provider Business Mailing Address
First Line	:	3870 LYON DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-4907
Country	:	US
Telephone Number	:	614-442-7846
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 DENNISON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3497
Country	:	US
Telephone Number	:	614-291-7707
Fax Number	:	614-291-6077

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	03/07/2023

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