Provider Demographics
NPI:1922383082
Name:MILLER, STEVEN JOHN (MSPHARM, D PH)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOHN
Last Name:MILLER
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Gender:M
Credentials:MSPHARM, D PH
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Mailing Address - Street 1:5200 MARYLAND WAY C/O PHARMMD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5018
Mailing Address - Country:US
Mailing Address - Phone:615-312-7043
Mailing Address - Fax:810-454-0437
Practice Address - Street 1:5200 MARYLAND WAY C/O PHARMMD
Practice Address - Street 2:SUITE 200
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5018
Practice Address - Country:US
Practice Address - Phone:615-312-7043
Practice Address - Fax:810-454-0437
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2012-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARPH015949183500000X
PARP438147183500000X
IA148021835P0018X
TN122331835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist