Individual
COREY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 LOWTHER ST, BELLWOOD, PA 16617-2220
(814) 505-5176
Mailing address
600 LOWTHER ST, BELLWOOD, PA 16617-2220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451220
PA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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