Provider Demographics
NPI:1497355523
Name:MILLER, THOMAS AARON III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:AARON
Last Name:MILLER
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 BRYANT DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8058
Mailing Address - Country:US
Mailing Address - Phone:859-382-7404
Mailing Address - Fax:
Practice Address - Street 1:103 BRYANT DR
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-8058
Practice Address - Country:US
Practice Address - Phone:859-382-7404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15224183500000X
KY013768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist