Provider Demographics
NPI:1851647291
Name:MILLER, DARCY LYNN (RPH)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 NE RAVENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-3761
Mailing Address - Country:US
Mailing Address - Phone:541-420-3245
Mailing Address - Fax:
Practice Address - Street 1:2441 NE RAVENWOOD DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-3761
Practice Address - Country:US
Practice Address - Phone:541-420-3245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist