Individual
JONATHAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2535
(210) 833-1000
Mailing address
1224 ELM RIDGE LN, BROWNSVILLE, TX 78520-9231
(956) 372-0227
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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