Provider Demographics
NPI:1790124717
Name:MILLER, RACHEL ALYSSA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ALYSSA
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:ALYSSA
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3510 EVERGREEN PKWY
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7707
Mailing Address - Country:US
Mailing Address - Phone:303-928-8982
Mailing Address - Fax:
Practice Address - Street 1:3510 EVERGREEN PKWY
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7707
Practice Address - Country:US
Practice Address - Phone:303-928-8982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist