Provider Demographics
NPI:1912399916
Name:MILLER, DANIEL BRYAN (PHARMD, CDE)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:BRYAN
Last Name:MILLER
Suffix:
Gender:M
Credentials:PHARMD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 S STATE ROUTE 48
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-9798
Mailing Address - Country:US
Mailing Address - Phone:513-494-2215
Mailing Address - Fax:513-494-2539
Practice Address - Street 1:5705 S STATE ROUTE 48
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-9798
Practice Address - Country:US
Practice Address - Phone:513-494-2215
Practice Address - Fax:513-494-2539
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist