Organization
MILLERS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION MILLER (OWNER)
(903) 395-2127
Entity
Organization
Contact information
Practice address
100 E DALLAS AVE, COOPER, TX 75432-2043
(903) 395-2127
(903) 395-3160
Mailing address
100 E DALLAS AVE, COOPER, TX 75432-2043
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142623
—
TX
01
—
4516297
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/19/2006
Last updated
08/01/2008
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