MEDICARE: JILL MARIE 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	13379	SC

General Provider Information

NPI Number	:	1811324445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL MARIE MILLER PHARMD

Provider Business Mailing Address
First Line	:	5426 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-5401
Country	:	US
Telephone Number	:	803-790-7273
Fax Number	:	803-790-7284

Provider Business Practice Location Address
First Line	:	5426 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-5401
Country	:	US
Telephone Number	:	803-790-7273
Fax Number	:	803-790-7284

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

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	09/27/2013

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Directions to “ JILL MARIE MILLER PHARMD” Practice Location

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