Individual
DR. JOHN STEVEN MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7506 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2066
(317) 595-8964
Mailing address
7506 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2066
(317) 595-8964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021187A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26021187A
INDIANA STATE BOARD OF PHARMACY
IN
Enumeration date
10/14/2011
Last updated
10/14/2011
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