Individual
JEFFRY SCOTT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
100 PINEVALE ST, FLOWOOD, MS 39232-8356
(601) 504-4994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P11803
MS
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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