Provider Demographics
NPI:1356932792
Name:MILLER, CLAYTON LEWIS (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:LEWIS
Last Name:MILLER
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 RENNINGER RD
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44319-3938
Mailing Address - Country:US
Mailing Address - Phone:330-524-9088
Mailing Address - Fax:
Practice Address - Street 1:1711 STATE RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1305
Practice Address - Country:US
Practice Address - Phone:330-929-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist