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Organization
MILLERS FAMILY PHARMACY & GIFT BOUTIQUE INC
Active
Organization
MILLERS FAMILY PHARMACY & GIFT BOUTIQUE INC
Active
Other names
MILLERS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MILLER PD (PRESIDENT)
(337) 779-2214
Entity
Organization
Contact information
Practice address
119 S 5TH ST, SUITE B, IOTA, LA 70543-6105
(337) 779-2214
(337) 779-2215
Mailing address
PO BOX 429, IOTA, LA 70543-0429
(337) 779-2214
(337) 779-2215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY003535IR
LA
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264105
—
LA
01
—
2028743
PK
—
Enumeration date
06/08/2006
Last updated
12/15/2015
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