Individual
MELISSA LEA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2000 CLIFF LAKE RD, EAGAN, MN 55122-2400
(651) 688-8947
(651) 234-2668
Mailing address
1524 MCANDREWS RD W, BURNSVILLE, MN 55337-4472
(701) 373-5396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120796
MN
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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