Individual
AUTUMN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 TOWNE CENTER DR, LOUISVILLE, KY 40241-4146
(502) 412-2440
Mailing address
4101 TOWNE CENTER DR, LOUISVILLE, KY 40241-4146
(502) 412-2440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017304
KY
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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