Individual
GARLAND OTIS MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
31ST AND CENTRAL, KEARNEY, NE 68847
(308) 865-7021
Mailing address
305 RAINBOW LANE, GIBBON, NE 68840
(308) 627-3971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9143
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9143
9143
NE
Enumeration date
12/04/2020
Last updated
12/04/2020
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