Individual
DONOVAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1101 GRANTS PASS PKWY, GRANTS PASS, OR 97526
(541) 474-7200
Mailing address
215 1/2 VANCOUVER AVE, MEDFORD, OR 97504-7484
(916) 705-9485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0016217
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0016217
OR
Other
Enumeration date
09/14/2017
Last updated
07/13/2018
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