Miller, Benjamin Blake

Miller, Benjamin Blake is an individual health care provider with primary practice located at 1000 Blythe Blvd Carolinas Medical Center - Adv Heart Failure Clinic, Charlotte NC 28203-5812. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Miller, Benjamin Blake can be contacted via phone (704) 355-8816.

Contact Information

Primary practice address
1000 Blythe Blvd Carolinas Medical Center - Adv Heart Failure Clinic Charlotte NC 28203-5812
Phone: (704) 355-8816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 22658 North Carolina
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 35457PH South Carolina

Profile Details

NPI number 1316359920
LBN Legal business name Miller, Benjamin Blake
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2014
Last updated May 30th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316359920 NPPES
South Carolina Other 35457PH STATE LICENCE
South Carolina Other 22658 STATE LICENCE

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