Organization
MILLER PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DOUGLAS HERBST RPH (OWNER/PHARMACIST)
(262) 363-4001
Entity
Organization
Contact information
Practice address
801 N ROCHESTER ST, MUKWONAGO, WI 53149-1142
(262) 363-4001
(262) 363-5699
Mailing address
801 N ROCHESTER ST, MUKWONAGO, WI 53149-1142
(262) 363-4001
(262) 363-5699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5677042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33104700
—
WI
Enumeration date
02/05/2007
Last updated
06/27/2016
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