Individual
GINAMARIE A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 SOPHRIRA LN, ALTOONA, PA 16602-6543
(814) 946-4267
Mailing address
500 RIDGE AVE, ALTOONA, PA 16602-2944
(814) 312-7802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP041832L
PA
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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