Individual
MR. BRUCE DAVID MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3057 S HIGUERA ST, SPC # 53, SAN LUIS OBISPO, CA 93401-6625
(805) 784-0216
Mailing address
3057 S HIGUERA ST, SPC # 53, SAN LUIS OBISPO, CA 93401-6625
(805) 784-0216
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
25755
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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