Organization
RELLIM INCORPORATED
Active
Other names
MILLERS PHARMACY AND GIFT SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MILLER (OWNER)
(517) 622-3392
Entity
Organization
Contact information
Practice address
204 S BRIDGE ST, GRAND LEDGE, MI 48837-1527
(517) 622-3392
(517) 622-5138
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2359378
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2359378
—
MI
Enumeration date
01/05/2007
Last updated
11/16/2010
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