Miller Principle Management, LLC
Organization Active NPI Community/Retail Pharmacy · Waldron, AR
NPI 1952168239 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1952168239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- MILLER PRINCIPLE MANAGEMENT, LLC
- Practice address
- 47 Highway 71 Bypass South
Waldron, AR 72958-6910 - Phone
- (479) 637-0222
- Fax
- (479) 637-0330
- NPI assigned
- Mar 4, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Howard Olin Miller, PD
- Title
- President
- Phone
- (479) 637-0222
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 1
-
Howard O. Miller, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250826000570 | AR | Part B Supplier - Pharmacy | 3173023934 |
1 other NPI on this enrollment Practice locations: Waldron, AR |
National Provider Directory
- Tax ID family
- Miller Principle MGMT LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
47 Highway 71 Bypass South
Waldron, AR 72958-6910
Mailing address
47 Highway 71 S
Waldron, AR 72958-6910
Phone (479) 637-0222
Other names
- Scott County Drug
Other providers in Waldron, AR
- Mercy Hospital Waldron
- Mercy Hospital Waldron
- Mercy Hospital Waldron
- Mercy Hospital Waldron
- Miller Principle Management, LLC
- Misty Mitchell
- Randy Mitchell
- Tonya Resha Nichols
- Odyssey Healthcare Operating a, LP
- Lisa A Polo
All providers in Waldron, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.