Individual
SHELBY MILLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 AVENUE G, KENTWOOD, LA 70444-2804
(985) 229-2501
(985) 229-7561
Mailing address
210 AVENUE G, KENTWOOD, LA 70444-2804
(985) 229-2501
(985) 229-7561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021122
LA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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