Individual
LARISSA KAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1111 HOLTON DR, LE MARS, IA 51031-2884
(712) 546-5150
Mailing address
603 ZUIDER ZEE DR SE, ORANGE CITY, IA 51041-1819
(605) 690-5565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22929
IA
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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