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Millerstown Borough is located on the eastern bank of the Juniata River, scenically set in the rolling hills of Perry County. Once a thriving town during Canal Days, it now serves as a quiet residential community, rich in historical lore. Millerstown lies thirty-three miles west of the State Capital, Harrisburg, Pennsylvania, and is the oldest town in Perry County. It is located at the junctions of U.S. 22/322 and PA. Rt. 17. It has a land area of .86 square miles, with a 2010 census population of 673.