MEDICARE: DR. CHRISTOPHER L 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	03132035	OH

General Provider Information

NPI Number	:	1891043113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER L MILLER PHARMD

Provider Business Mailing Address
First Line	:	7870 PRAIRIE WILLOW DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8363
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7870 PRAIRIE WILLOW DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8363
Country	:	US
Telephone Number	:	614-271-5943
Fax Number	:

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

Provider Enumeration Date	:	08/16/2012
Last Update Date	:	08/16/2012

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