Provider Demographics
NPI:1245700970
Name:MILLER, LISA ACRI (RPH)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ACRI
Last Name:MILLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 RHODA AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-9535
Mailing Address - Country:US
Mailing Address - Phone:717-475-1371
Mailing Address - Fax:717-361-7978
Practice Address - Street 1:1805 RHODA AVE
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9535
Practice Address - Country:US
Practice Address - Phone:717-475-1371
Practice Address - Fax:717-361-7978
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037054L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist