Provider Demographics
NPI:1013046754
Name:MILLER, DIONE RENEE (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:DIONE
Middle Name:RENEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 HALES MILL RD
Mailing Address - Street 2:
Mailing Address - City:ASBURY
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2481
Mailing Address - Country:US
Mailing Address - Phone:563-588-0656
Mailing Address - Fax:
Practice Address - Street 1:3020 HALES MILL RD
Practice Address - Street 2:
Practice Address - City:ASBURY
Practice Address - State:IA
Practice Address - Zip Code:52002-2481
Practice Address - Country:US
Practice Address - Phone:563-588-0656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist