Most Relevant Information
Provider Data
| NPI Number: | 1003416926 |
| Provider Name: | DIANE TAMARA MIELE RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 28RI01784800 |
Most Important Dates
| Enumeration Date: | 10/29/2020 |
| Last Updated: | 10/29/2020 |
Provider Practice Location
525 ROUTE 72 W
MANAHAWKIN
NJ
080502821
Practice Location Phone/Fax
| Phone: | 6099788811 |
| Fax: | 6099788365 |
Provider Mailing Location
525 ROUTE 72 W
MANAHAWKIN
NJ
080502821
Provider Mailing Phone/Fax
| Phone: | 6099788811 |
| Fax: | 6099788365 |