Organization Name: | MILLER DRUG CO INC. |
NPI Number: | 1013992270 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK J PERSIC (PHARMACIST) |
Mailing Address: | 540 S Lake St Gary |
State: | IN US |
Postal Code: | 464032473 |
Phone Number: | 2199381103 |
Fax Number: | 2199383252 |
NPI Enumeration Date: | 12/09/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 60002068A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |