Individual
RONALD LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 W STATE BLVD, FORT WAYNE, IN 46808-3185
(269) 426-4487
(260) 424-3079
Mailing address
1125 W STATE BLVD, FORT WAYNE, IN 46808-3185
(269) 426-4487
(260) 424-3079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015215A
IN
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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