MEDICARE: MRS. REBECCA PAULINE MILLER RPH

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	043411	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861675712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA PAULINE MILLER RPH

Provider Business Mailing Address
First Line	:	222 5TH AVE EXT
Second Line	:
City	:	GLOVERSVILLE
State	:	NY
Zip	:	12078-1820
Country	:	US
Telephone Number	:	518-773-8449
Fax Number	:	518-773-8464

Provider Business Practice Location Address
First Line	:	222 5TH AVE EXT
Second Line	:
City	:	GLOVERSVILLE
State	:	NY
Zip	:	12078-1820
Country	:	US
Telephone Number	:	518-773-8449
Fax Number	:	518-773-8464

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

Provider Enumeration Date	:	12/14/2007
Last Update Date	:	06/06/2026

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