Individual
DR. ALISA KEENE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D, RPH
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
5053 SWEETWATER DR, BENTON, LA 71006-3479
(318) 965-5321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14345
LA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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