Provider Demographics
NPI:1437716321
Name:MILLER, KARLEE RAE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARLEE
Middle Name:RAE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 NEW HAMPSHIRE ST LOT 51
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-7510
Mailing Address - Country:US
Mailing Address - Phone:307-705-1130
Mailing Address - Fax:
Practice Address - Street 1:2531 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-4744
Practice Address - Country:US
Practice Address - Phone:307-362-1841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-26
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY4094183500000X
WAPH60893772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist