Provider Demographics
NPI:1154575132
Name:MILLER, ASHLEY JANE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:JANE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 142ND AVE
Mailing Address - Street 2:
Mailing Address - City:DORR
Mailing Address - State:MI
Mailing Address - Zip Code:49323-9434
Mailing Address - Country:US
Mailing Address - Phone:616-681-9947
Mailing Address - Fax:
Practice Address - Street 1:1730 142ND AVE
Practice Address - Street 2:
Practice Address - City:DORR
Practice Address - State:MI
Practice Address - Zip Code:49323-9434
Practice Address - Country:US
Practice Address - Phone:616-681-9947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036219183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist