# MILLER PHARMACY INC

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

## Provider details

- **NPI number:** 1700899432
- **Authorized official:** MARK VOGT PHARM. D. (PRESIDENT)
- **Authorized official phone:** (402) 578-9734

## Contact information

- **Practice address:** 322 E 22ND ST, FREMONT, NE 68025-2608
- **Practice address phone:** (402) 721-1177
- **Practice address fax:** (402) 721-2288
- **Mailing address:** 322 E 22ND ST, FREMONT, NE 68025-2608
- **Mailing address phone:** (402) 721-1177
- **Mailing address fax:** (402) 721-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 714 | NE | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 04/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2055805 | PK | — |