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Individual

MIKE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P..D.

Contact information

Practice address
102 W BROAD ST, LEPANTO, AR 72354-2200
(870) 475-2977
Mailing address
102 W BROAD ST, LEPANTO, AR 72354-2200
(870) 475-2977

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR07613
AR

Other

Enumeration date
10/13/2011
Last updated
02/15/2017
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