Individual
DR. AJ CHASE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2434
(208) 743-2511
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4171461
ID
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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