Provider Demographics
NPI:1578560298
Name:MILLER, ELIZABETH PERRY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PERRY
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:COWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2110 ROSE THEATRE CIR
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1677
Mailing Address - Country:US
Mailing Address - Phone:301-570-4556
Mailing Address - Fax:
Practice Address - Street 1:12601 TWINBROOK PKWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1717
Practice Address - Country:US
Practice Address - Phone:301-816-8217
Practice Address - Fax:301-816-8565
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist