MEDICARE: DR. TRACY 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	3336L0003X	Long Term Care Pharmacy		CO

General Provider Information

NPI Number	:	1356939524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACY MILLER PHARMD

Provider Business Mailing Address
First Line	:	634 MATHEWS ST APT B1
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 CENTRE AVE STE 4
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-6046
Country	:	US
Telephone Number	:	970-221-0190
Fax Number	:	970-493-7680

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

Provider Enumeration Date	:	01/04/2021
Last Update Date	:	01/04/2021

Similar Medicare Providers

1174190920 — TANYA GOLOVANOFF PHARMD, BCSCP
Practice Location Address:

915 CENTRE AVE STE 3
FORT COLLINS, CO
80526-6046

Practice Phone: 970-494-2130
Practice Fax: 970-494-2131

1114630852 — COLUMBINE POUDRE HOME CARE, LLC
Practice Location Address:

915 CENTRE AVE STE 2
FORT COLLINS, CO
80526-6046

Practice Phone: 970-482-5096
Practice Fax: 970-224-2518

1083898332 — WENDY ANN JENKS CRNA
Practice Location Address:

5109 EMMERYVILLE LN
FORT WORTH, TX
76244-6046

Practice Phone: 214-695-0737
Practice Fax:

1770222028 — ANDREA JENNYS SUSTACHE MEDINA
Practice Location Address:

3813 PERIWINKLE DR
FORT WORTH, TX
76137-6046

Practice Phone: 787-983-4456
Practice Fax:

1982476644 — WENDY HERNANDEZ CASTELLANO
Practice Location Address:

5941 NE 18TH AVE APT 5
FORT LAUDERDALE, FL
33334-6046

Practice Phone: 786-302-0502
Practice Fax:

1134831910 — MICHELLE ROBERTS RD
Practice Location Address:

2049 KENT CT
FORT COLLINS, CO
80526-6125

Practice Phone: 859-760-9856
Practice Fax:

Directions to “ DR. TRACY MILLER PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.