Organization
MILEY MEDS PHARMACY LLC
Active
Other names
Miley Meds Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE CLINTON MILEY JR. RPH. (OWNER/PIC)
(985) 256-7222
Entity
Organization
Contact information
Practice address
64288 HIGHWAY 41, PEARL RIVER, LA 70452-3602
(985) 256-7222
(985) 256-7224
Mailing address
64288 HIGHWAY 41, PEARL RIVER, LA 70452-3602
(985) 256-7222
(985) 256-7224
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206567
—
LA
Enumeration date
09/10/2018
Last updated
07/27/2024
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