Provider Demographics
NPI:1457735730
Name:MILLER, ASTYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASTYN
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ASTYN
Other - Middle Name:
Other - Last Name:FILBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1325 PENNSYLVANIA AVE STE 60
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2149
Mailing Address - Country:US
Mailing Address - Phone:972-266-1209
Mailing Address - Fax:
Practice Address - Street 1:1325 PENNSYLVANIA AVE STE 60
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2149
Practice Address - Country:US
Practice Address - Phone:817-882-8670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD13225183500000X
TX58889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist