Provider Demographics
NPI:1356934848
Name:MILLER, SETH GERALD (PHARMD)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:GERALD
Last Name:MILLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 MILL RUN RD
Mailing Address - Street 2:
Mailing Address - City:MILL RUN
Mailing Address - State:PA
Mailing Address - Zip Code:15464-1033
Mailing Address - Country:US
Mailing Address - Phone:724-420-1759
Mailing Address - Fax:
Practice Address - Street 1:304 MORGANTOWN ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4829
Practice Address - Country:US
Practice Address - Phone:724-437-2828
Practice Address - Fax:724-438-3676
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist