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Individual

STATEN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
254 HIGHWAY 72 BYPASS, GREENWOOD, SC 29649-1509
(864) 299-1399
Mailing address
544 AUSTIN RD, DONALDS, SC 29638-9078
(864) 207-0475

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36742
SC

Other

Enumeration date
08/01/2016
Last updated
08/01/2016
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