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Individual

MR. LEE DAN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
905 RICHMOND RD, IRVINE, KY 40336-7230
(606) 723-5446
Mailing address
1684 BAHAMA RD, LEXINGTON, KY 40509-9504
(859) 299-6357

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006982
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006982
STATE PHARMACY LICENSE
KY
Enumeration date
05/17/2007
Last updated
07/08/2007
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