Individual
LYNN CARROLL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8 GAYLE DR, BERKELEY SPRINGS, WV 25411-6300
(304) 258-4955
(304) 258-8153
Mailing address
PO BOX 521, BERKELEY SPRINGS, WV 25411-0521
(304) 258-4955
(304) 258-8153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0002805
WV
Other
Enumeration date
04/23/2011
Last updated
04/23/2011
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