Individual
EDWARD LYNN MILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
3348 28TH ST, BOULDER, CO 80301-1411
(303) 447-1173
(303) 444-2509
Mailing address
3348 28TH ST, BOULDER, CO 80301-1411
(303) 447-1173
(303) 444-2509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8972
CO
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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