Organization
MILLERS OF WYCKOFF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M MILLER RPH (PRESIDENT)
(201) 891-3333
Entity
Organization
Contact information
Practice address
678 WYCKOFF AVE, WYCKOFF, NJ 07481-1430
(201) 891-3333
(201) 891-6392
Mailing address
678 WYCKOFF AVE, WYCKOFF, NJ 07481-1430
(201) 891-3333
(201) 891-6392
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7665008
—
NJ
Enumeration date
04/12/2006
Last updated
09/25/2015
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