Individual
CHAD RUSSELL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 W PLAZA DR, COLUMBIA CITY, IN 46725-1051
(260) 244-4400
Mailing address
3216 N 50 W, COLUMBIA CITY, IN 46725-7842
(260) 609-8125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020465A
IN
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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