MEDICARE: DR. COURTNEY PAIGE MILLER PHARMD

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	78977	CA

General Provider Information

NPI Number	:	1144883018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY PAIGE MILLER PHARMD

Provider Business Mailing Address
First Line	:	2318 E SANTA ANA AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-0341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 N MILBURN AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-2155
Country	:	US
Telephone Number	:	559-451-3486
Fax Number	:

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

Provider Enumeration Date	:	04/17/2019
Last Update Date	:	05/11/2021

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