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Individual
SHAWN MITCHELL MILLER
Active
Individual
SHAWN MITCHELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0020225
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0020225
PHARMACIST LICENSE
CO
Enumeration date
02/19/2014
Last updated
02/19/2014
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