| Mr Jason Douglas Miller, PHARM D | |
|
1921 Coborn Boulevard, St. Cloud, MN 56301 | |
| (320) 251-5505 | |
| Not Available |
| Full Name | Mr Jason Douglas Miller |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1921 Coborn Boulevard, St. Cloud, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952692790 | NPI | - | NPPES |
| 361660000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 120389 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Douglas Miller, PHARM D 8173 112th St Nw, Annandale, MN 55302-2304 Ph: (320) 249-2602 | Mr Jason Douglas Miller, PHARM D 1921 Coborn Boulevard, St. Cloud, MN 56301 Ph: (320) 251-5505 |
Mr. Ryan D Lundell, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: St. Cloud Veterans Affairs Medical Center, 4801 8th Street North, St. Cloud, MN 56303 Phone: 320-255-6465 Fax: 320-255-6360 | |
Chris Freeman, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Va Medical Center, St. Cloud, MN 56303 Phone: 320-255-6465 |