Individual
KEITH D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1010 E IRELAND RD, SOUTH BEND, IN 46614-2665
(574) 299-0199
(574) 299-2840
Mailing address
1010 E IRELAND RD, SOUTH BEND, IN 46614-2665
(574) 299-0199
(574) 299-2840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017998A
IN
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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