Provider Demographics
NPI:1003030255
Name:MILLER, ANDREW CHAPMAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:CHAPMAN
Last Name:MILLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 TYLER STREET
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301
Mailing Address - Country:US
Mailing Address - Phone:802-254-8452
Mailing Address - Fax:
Practice Address - Street 1:499 CANAL STREET
Practice Address - Street 2:BROOKS PHARMACY # 605
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-3395
Practice Address - Country:US
Practice Address - Phone:802-257-4204
Practice Address - Fax:802-257-4766
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT3124183500000X
NH2720183500000X
MD12566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist