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1659686053
MALCOLM MILES
SAN ANTONIO, TX
NPI
1659686053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 46194)
Additional Taxonomies
183500000X Pharmacist
(Licence: AR 6406)
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
Mr. MALCOLM MILES RPH
4821 BROADWAY ST
SAN ANTONIO, TX 78209-5703
Phone number: 210-824-0515
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Mailing Address
Mr. MALCOLM MILES RPH
4821 BROADWAY ST
SAN ANTONIO, TX 78209-5703
Phone number: 210-824-0515
Copy
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