Individual
GREGORY K MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 POINTE AUX LOUPE, IOTA, LA 70543
(337) 779-2214
Mailing address
18089 D A LEDOUX RD, JENNINGS, LA 70546-8228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13220
LA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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