Provider Demographics
NPI:1851734628
Name:MILLER, STEPHAN ARTHUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHAN
Middle Name:ARTHUR
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 1:254 CLEVELAND AVE
Mailing Address - Street 2:AMHERST HOSPITAL PHARMACY
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-1620
Mailing Address - Country:US
Mailing Address - Phone:440-988-6230
Mailing Address - Fax:440-988-6012
Practice Address - Street 1:254 CLEVELAND AVE
Practice Address - Street 2:AMHERST HOSPITAL PHARMACY
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-1620
Practice Address - Country:US
Practice Address - Phone:440-988-6230
Practice Address - Fax:440-988-6012
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03221513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist