Provider Demographics
NPI:1083895841
Name:MILLER, STEVEN ALAN (BSC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ALAN
Last Name:MILLER
Suffix:
Gender:M
Credentials:BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BRIARWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-9281
Mailing Address - Country:US
Mailing Address - Phone:717-664-0144
Mailing Address - Fax:717-664-0146
Practice Address - Street 1:2124 TOWN SQUARE NORTH
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545
Practice Address - Country:US
Practice Address - Phone:717-664-0144
Practice Address - Fax:717-664-0146
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029088L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist