Individual
JOHN THOMAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3610 BREMEN HWY, MISHAWAKA, IN 46544-6500
(574) 254-2510
(574) 254-2565
Mailing address
17511 ARBOR DR, SOUTH BEND, IN 46635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26019690A
IN
1835P1200X
Pharmacotherapy Pharmacist
Primary
26019690A
IN
Other
Enumeration date
10/06/2011
Last updated
07/25/2021
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