Provider Demographics
NPI:1144222852
Name:MILES, ELIZABETH MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MARIE
Last Name:MILES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 KENNEDY CIR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103-1075
Mailing Address - Country:US
Mailing Address - Phone:585-798-4580
Mailing Address - Fax:585-798-4580
Practice Address - Street 1:105 KENNEDY CIR
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103-1075
Practice Address - Country:US
Practice Address - Phone:585-798-4580
Practice Address - Fax:585-798-4580
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist