Individual
SHAWN MITCHELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
223 BERTHOUD TRL, BROOMFIELD, CO 80020-9677
(303) 246-7428
Mailing address
223 BERTHOUD TRL, BROOMFIELD, CO 80020-9677
(303) 246-7428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0020225
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0020225
PHARMACIST LICENSE
CO
Enumeration date
02/19/2014
Last updated
02/19/2014
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