Individual
MILES HOUSE
Active
Individual
MILES HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8784126-1701
UT
183500000X
Pharmacist
RPH-0015436
OR
Other
Enumeration date
08/04/2016
Last updated
04/09/2021
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