Individual
DR. LISA R MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
305 RAINBOW LN, GIBBON, NE 68840-6292
(308) 468-6238
Mailing address
305 RAINBOW LN, GIBBON, NE 68840-6292
(308) 468-6238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10840
NE
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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