MEDICARE: DESTINY MILLER

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	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1396679734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESTINY MILLER

Provider Business Mailing Address
First Line	:	21145 SPRING PLAZA DR APT 4110
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-1447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3412
Country	:	US
Telephone Number	:	281-907-7950
Fax Number	:

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

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ DESTINY MILLER ” Practice Location

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