Individual
LISA A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
101 S MAIN ST, HAILEY, ID 83333-8408
(208) 788-4970
(208) 788-5791
Mailing address
101 S MAIN ST, HAILEY, ID 83333-8408
(208) 788-4970
(208) 788-5791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5105
ID
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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