Individual
LECORY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2259 SHARON RD, CANTON, MS 39046-8727
(281) 923-5895
Mailing address
2259 SHARON RD, CANTON, MS 39046-8727
(281) 923-5895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010297
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40519
TEXAS BOARD OF PHARMACY
TX
01
—
E-010297
MISSISSIPPI BOARD OF PHARMACY
MS
Enumeration date
10/19/2022
Last updated
10/19/2022
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