Individual
MR. LARRY LEROY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
825 N CENTER, OTSEGO MEMORIAL HOSPITAL PHARMACY, GAYLORD, MI 49735
(989) 731-2163
(989) 731-2162
Mailing address
6744 NIGHTINGALE DR, GAYLORD, MI 49735-9081
(989) 939-7872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024779
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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