# MILLERS PHARMACY INC

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

## Provider details

- **NPI number:** 1730719147
- **Authorized official:** KIMBERLY S CLOUSE PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (570) 746-1004

## Contact information

- **Practice address:** 41857 US RT 6, FARM & HOME PLAZA, WYALUSING, PA 18853
- **Practice address phone:** (570) 746-1004
- **Practice address fax:** (570) 746-9470
- **Mailing address:** PO BOX 459, WYALUSING, PA 18853-0459
- **Mailing address phone:** (570) 746-1004
- **Mailing address fax:** (570) 746-9470

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 01/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0077321670003 | — | PA |
