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1720099807
CHARLES W MILLER
SHREVEPORT, LA
NPI
1720099807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 30787)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Mr. CHARLES W MILLER RPh
510 E STONER AVE DEPT 119
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Mr. CHARLES W MILLER RPh
2111 COUNTY ROAD 4670
ATLANTA, TX 75551-7813
Phone number: 903-796-9372
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