Individual
ALISA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13131 MONTFORT DR, DALLAS, TX 75240-5112
(972) 490-3951
Mailing address
13131 MONTFORT DR, DALLAS, TX 75240-5112
(972) 490-3951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51855
TX
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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