Provider Demographics
NPI:1831538776
Name:MILLER, MORGAN MICHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:MICHELLE
Last Name:MILLER
Suffix:
Gender:F
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:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-0397
Mailing Address - Country:US
Mailing Address - Phone:417-865-1547
Mailing Address - Fax:417-862-2571
Practice Address - Street 1:1824 N STATE HIGHWAY CC STE B
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-8015
Practice Address - Country:US
Practice Address - Phone:417-719-4541
Practice Address - Fax:417-893-3908
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013020271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist