Provider Demographics
NPI:1144543679
Name:MILLER, MEGHAN ANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:ANNE
Last Name:MILLER
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 1:185 UPPER RIVER RD
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1836
Mailing Address - Country:US
Mailing Address - Phone:740-446-8366
Mailing Address - Fax:740-446-7497
Practice Address - Street 1:185 UPPER RIVER RD
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1836
Practice Address - Country:US
Practice Address - Phone:740-446-8366
Practice Address - Fax:740-446-7497
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03127353183500000X
WVRP0006904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0227773002Medicaid
OH0766112Medicaid