Organization
MILLER BROTHERS PHARMACY LLC
Active
Other names
Miller Brothers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MICHAEL MILLER R.PH. (OWNER/PHARMACIST IN CHARGE)
(304) 784-4803
Entity
Organization
Contact information
Practice address
271 MAIN ST, MADISON, WV 25130-1219
(304) 784-4803
Mailing address
852 OLD RIVER RD, MADISON, WV 25130-1522
(304) 369-6936
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552518
WV
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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