Provider Demographics
NPI:1699165985
Name:MILLER, EMILY MARIE (RPH)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MARIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7155 NYS RT 12 SOUTH
Mailing Address - Street 2:
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367
Mailing Address - Country:US
Mailing Address - Phone:315-376-4174
Mailing Address - Fax:315-376-4178
Practice Address - Street 1:7155 NYS RT 12 SOUTH
Practice Address - Street 2:
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367
Practice Address - Country:US
Practice Address - Phone:315-376-4174
Practice Address - Fax:315-376-4178
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059433183500000X
AL17911183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist