MEDICARE: DR. KRISTEN MILLER PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	16636	MD
2	183500000X	Pharmacist	RP437664	PA

General Provider Information

NPI Number	:	1174740526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN MILLER PHARM.D.

Provider Business Mailing Address
First Line	:	5509 APRIL JOURNEY
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-5592
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10903 NEW HAMPSHIRE
Second Line	:	BLDG 22 RM 6187
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0002
Country	:	US
Telephone Number	:	301-796-0762
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/08/2007

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