Individual
CLINT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 FLORIDA AVE SE, DENHAM SPRINGS, LA 70726-3798
(225) 665-5186
Mailing address
257 FLORIDA AVE SE, DENHAM SPRINGS, LA 70726-3798
(225) 665-5186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017318
LA
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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