Provider Demographics
NPI:1750608428
Name:MILLER, HEATHER VICTORIA (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:VICTORIA
Last Name:MILLER
Suffix:
Gender:F
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 1:1825 SNOW RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-2722
Mailing Address - Country:US
Mailing Address - Phone:216-739-4120
Mailing Address - Fax:
Practice Address - Street 1:1825 SNOW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2722
Practice Address - Country:US
Practice Address - Phone:216-739-4120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031295411835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03129541OtherPHARMACIST LICENSE NUMBER