Provider Demographics
NPI:1568780880
Name:MILLER, TAMI JO (PHARMDRPH)
Entity Type:Individual
Prefix:MS
First Name:TAMI
Middle Name:JO
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARMDRPH
Other - Prefix:
Other - First Name:TAMI
Other - Middle Name:JO
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMDRPH, BCACP
Mailing Address - Street 1:521 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501
Mailing Address - Country:US
Mailing Address - Phone:406-395-6906
Mailing Address - Fax:406-395-5643
Practice Address - Street 1:2074 S 6TH ST
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-3372
Practice Address - Country:US
Practice Address - Phone:541-851-8110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5319183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist