Miley, Wesley A

Miley, Wesley A is an individual health care provider with primary practice located at 821 E Northside Dr , Clinton MS 39056-3659. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Miley, Wesley A can be contacted via phone (601) 924-8935.

Contact Information

Primary practice address
821 E Northside Dr Clinton MS 39056-3659
Fax: (601) 924-9127
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E05581 Mississippi

Profile Details

NPI number 1770525875
LBN Legal business name Miley, Wesley A
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 9th, 2007 - about 17 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 1770525875 NPPES
Mississippi Other 2517627 NABP
Mississippi MEDICAID 00330062 NABP

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