Individual
REBECCA DANIELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2901 PATTERSON RD, GRAND JUNCTION, CO 81504-3001
(970) 248-9871
Mailing address
1199 18 RD, FRUITA, CO 81521-2474
(970) 314-1052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22877
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22877
PHARMACIST LICENSE NUMBER
CO
Enumeration date
11/18/2019
Last updated
11/18/2019
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