Individual
BRYAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5000
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250943
NABP E-PROFILE ID
CA
Enumeration date
03/04/2014
Last updated
03/04/2014
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