Healthcare Provider Details

I. General information

NPI: 1437905171
Provider Name (Legal Business Name): KRISTIN DANIELS MILLER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2024
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NE 13TH ST
OKLAHOMA CITY OK
73104-5040
US

IV. Provider business mailing address

427 NW 21ST ST
OKLAHOMA CITY OK
73103-1924
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-8001
  • Fax:
Mailing address:
  • Phone: 918-691-2962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number14982
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: