Healthcare Provider Details

I. General information

NPI: 1164554655
Provider Name (Legal Business Name): SHEREE ANN MILLER PHARM.D., RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST ROOM EA 127, BOX 356015
SEATTLE WA
98195-6015
US

IV. Provider business mailing address

4405 50TH AVE NE
SEATTLE WA
98105-4926
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-6060
  • Fax:
Mailing address:
  • Phone: 206-525-7973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00011146
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: