Organization
MILLER PHARMACY INC
Active
Other names
Miller Pharmacy East
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VOGT (OWNER,AO)
(402) 578-9734
Entity
Organization
Contact information
Practice address
1900 E MILITARY AVE, STE 220, FREMONT, NE 68025-5494
(402) 721-1100
(402) 721-0861
Mailing address
1900 E MILITARY AVE, STE 220, FREMONT, NE 68025-5494
(402) 721-1100
(402) 721-0861
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3023
NE
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151261
PK
—
Enumeration date
08/10/2006
Last updated
06/21/2016
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