Organization
MILLERS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY S CLOUSE PHARMD (PHARMACY MANAGER)
(570) 746-1004
Entity
Organization
Contact information
Practice address
41857 US RT 6, FARM & HOME PLAZA, WYALUSING, PA 18853
(570) 746-1004
(570) 746-9470
Mailing address
PO BOX 459, WYALUSING, PA 18853-0459
(570) 746-1004
(570) 746-9470
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077321670003
—
PA
Enumeration date
01/24/2020
Last updated
01/24/2020
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