Individual
MR. GREGORY A MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3109 W SYCAMORE ST, KOKOMO, IN 46901-4026
(765) 457-1191
Mailing address
2736 TUMBLEWEED DR, KOKOMO, IN 46901-4022
(765) 452-3386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013364A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26013364A
PHARMACY LICENSE
IN
Enumeration date
08/18/2005
Last updated
07/08/2007
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