Provider Demographics
NPI:1699093369
Name:MILLER, HENRY CHARLES (RPH)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:CHARLES
Last Name:MILLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 DRUIM MOIR LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-4134
Mailing Address - Country:US
Mailing Address - Phone:215-242-0767
Mailing Address - Fax:
Practice Address - Street 1:5100 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1123
Practice Address - Country:US
Practice Address - Phone:800-227-9666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041294R1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric