Individual
BRADLEY W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 W MAIN ST, ENON, OH 45323-1233
(937) 864-1603
Mailing address
101 W MAIN ST, ENON, OH 45323-1233
(937) 864-1603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03223310
OH
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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