Individual
JENNIFER LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
222 W COURT ST, KANKAKEE, IL 60901-3711
(815) 936-0817
(815) 936-1014
Mailing address
127 OLD FARM MIDDLE CT, BRADLEY, IL 60915-1485
(815) 937-4333
(815) 936-1014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-037876
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051-037876
REGISTERED PHARMACIST
IL
Enumeration date
08/26/2011
Last updated
08/26/2011
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