Horace Lynn Miller, RPH

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Groves, TX

NPI 1144880865 · NPPES record last updated Jun 14, 2019

Key facts

NPI
1144880865
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
20885 (TX)
Practice address
6001 39TH St
Groves, TX 77619-4651
Phone
(409) 962-4431
Fax
(409) 962-0723
NPI assigned
Jun 14, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
20885TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce'S Market Basket, LTD. Past Accepting new patients
Retail Investors of Texas, LTD. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 20885 TX Yes

Addresses

Primary practice location

6001 39TH St
Groves, TX 77619-4651

Mailing address

6001 39TH St
Groves, TX 77619-4651
Phone (409) 962-4431

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL FAX

Other providers in Groves, TX

All providers in Groves, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

Sources for this page

Verify at the official NPI Registry.