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Individual

DR. BENJAMIN BLAKE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1000 BLYTHE BLVD, CAROLINAS MEDICAL CENTER - ADV HEART FAILURE CLINIC, CHARLOTTE, NC 28203-5812
(704) 355-8816
Mailing address
1000 BLYTHE BLVD, CAROLINAS MEDICAL CENTER - ADV HEART FAILURE CLINIC, CHARLOTTE, NC 28203-5812
(704) 355-8816

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
22658
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
35457PH
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22658
STATE LICENSE
NC
01
35457PH
STATE LICENCE
SC
Enumeration date
05/30/2014
Last updated
05/30/2014
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