Miller Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Fremont, NE. Organization (NPI-2).
NPI number1417968926
StatusActive
Last updated in NPPESJun 21, 2016
Details
- NPI
- 1417968926
- Entity type
- Organization (NPI-2)
- Legal business name
- Miller Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Jun 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 3023 | NE | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Other names
- Miller Pharmacy East (Doing Business As)
Practice location
1900 E Military AveSte 220
Fremont, NE 68025-5494
Phone 402-721-1100 · Fax 402-721-0861
Mailing address
1900 E Military AveSte 220
Fremont, NE 68025-5494
Phone 402-721-1100 · Fax 402-721-0861
Authorized official
Mark Vogt
Owner,ao
4025789734
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