Individual
TIFFANY RENAE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
601 W 11TH ST, COFFEYVILLE, KS 67337-5025
(620) 251-1620
(620) 251-4730
Mailing address
1937 SW CREST DR, TOPEKA, KS 66604-3552
(785) 273-1625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14227
KS
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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