Individual
MAURA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8830 STATE ROAD 60 W, MITCHELL, IN 47446-7547
(812) 849-2425
Mailing address
158 EAGLE RIDGE RD, MITCHELL, IN 47446-5492
(812) 675-6544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018279A
IN
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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