Organization
MILLER PHARMACY SERVICES LLC
Active
Other names
Prescription Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MILLER PHARM D (OWNER/PRESIDENT)
(318) 255-7363
Entity
Organization
Contact information
Practice address
104 W LINE AVE, RUSTON, LA 71270-5044
(318) 255-7363
(318) 255-7365
Mailing address
104 W LINE AVE, RUSTON, LA 71270-5044
(318) 255-7363
(318) 255-7365
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
006536-IR
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135527
PK
—
05
—
2201514
—
LA
Enumeration date
05/16/2012
Last updated
03/24/2022
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