Individual
MR. DAVID MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1701 N BLUFF ST, FULTON, MO 65251-2499
(573) 642-9255
(573) 642-5596
Mailing address
1701 N BLUFF ST, FULTON, MO 65251-2499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042408
MO
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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