# MILLER DRUG CO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629138714
- **Authorized official:** MRS. NORA F JERNIGAN CERTIFIED PT (CO OWNER SECRETARY TREASURE)
- **Authorized official phone:** (205) 625-4421

## Contact information

- **Practice address:** 212 1ST AVE EAST, ONEONTA, AL 35121
- **Practice address phone:** (205) 625-4421
- **Practice address fax:** (205) 625-5107
- **Mailing address:** PO BOX 280, ONEONTA, AL 35121
- **Mailing address phone:** (205) 625-4421
- **Mailing address fax:** (205) 625-5107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 106785 | AL | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10000223Z | — | AL |
