Provider Demographics
NPI:1316022320
Name:MILLER PHARMACY
Entity Type:Organization
Organization Name:MILLER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-294-2715
Mailing Address - Street 1:2 E PEORIA ST
Mailing Address - Street 2:
Mailing Address - City:PAOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66071-1707
Mailing Address - Country:US
Mailing Address - Phone:913-294-2715
Mailing Address - Fax:913-294-3666
Practice Address - Street 1:2 E PEORIA ST
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-1707
Practice Address - Country:US
Practice Address - Phone:913-294-2715
Practice Address - Fax:913-294-3666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS64113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy