# MILEY MEDS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miley Meds Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023591799
- **Authorized official:** MR. CLARENCE CLINTON MILEY JR. RPH. (OWNER/PIC)
- **Authorized official phone:** (985) 256-7222

## Contact information

- **Practice address:** 64288 HIGHWAY 41, PEARL RIVER, LA 70452-3602
- **Practice address phone:** (985) 256-7222
- **Practice address fax:** (985) 256-7224
- **Mailing address:** 64288 HIGHWAY 41, PEARL RIVER, LA 70452-3602
- **Mailing address phone:** (985) 256-7222
- **Mailing address fax:** (985) 256-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2018
- **Last updated:** 07/27/2024