Provider Demographics
NPI:1194373282
Name:MILLER, DONNA (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 BERRY RD
Mailing Address - Street 2:
Mailing Address - City:RICHFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05476-9784
Mailing Address - Country:US
Mailing Address - Phone:802-318-8059
Mailing Address - Fax:
Practice Address - Street 1:356 MOUNTAIN VIEW DR STE 305
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-5989
Practice Address - Country:US
Practice Address - Phone:802-847-7043
Practice Address - Fax:802-847-5956
Is Sole Proprietor?:No
Enumeration Date:2019-08-31
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0134288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist