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Individual
DR. BENJAMIN BLAKE MILLER
Active
Individual
DR. BENJAMIN BLAKE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
22658
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
35457PH
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22658
STATE LICENSE
NC
01
—
35457PH
STATE LICENCE
SC
Enumeration date
05/30/2014
Last updated
05/30/2014
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