Individual
MR. BRET LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3250 CLEAR LAKE AVE, SPRINGFIELD, IL 62707
(217) 544-3735
Mailing address
3250 E CLEAR LAKE AVE, SPRINGFIELD, IL 62702-6208
(217) 544-3735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.037812
IL
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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