Organization
MILLER PHARMACY NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY JURGENSON (CO-OWNER)
(402) 721-5433
Entity
Organization
Contact information
Practice address
322 E 22ND ST, FREMONT, NE 68025-2608
(402) 721-5433
Mailing address
322 E 22ND ST, FREMONT, NE 68025-2608
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1627
NE
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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