Healthcare Provider Details

I. General information

NPI: 1174486500
Provider Name (Legal Business Name): AMBER MARIE MILLER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W AVENUE J
LANCASTER CA
93534-2814
US

IV. Provider business mailing address

1144 W AVENUE O
PALMDALE CA
93551-3032
US

V. Phone/Fax

Practice location:
  • Phone: 661-726-6020
  • Fax:
Mailing address:
  • Phone: 661-466-7375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number62956
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: