Karen Miller, RPH.
Individual provider Active NPI Pharmacist · Grant, MI
NPI 1134547565 · NPPES record last updated Apr 2, 2014
Key facts
- NPI
- 1134547565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302035374 (MI)
- Practice address
- 11 N Maple St
Grant, MI 49327-7900 - Phone
- (231) 834-1567
- Fax
- (231) 834-1568
- NPI assigned
- Apr 2, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035374 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302035374 | MI | Yes |
Addresses
Primary practice location
11 N Maple St
Grant, MI 49327-7900
Mailing address
11 N Maple St
Grant, MI 49327-7900
Phone (231) 834-1567
Other providers in Grant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.