Provider Demographics
NPI:1669622528
Name:MILLER, LAUREN DENISE (PHARMD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:DENISE
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 1:7870 N SILVERBELL RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8230
Mailing Address - Country:US
Mailing Address - Phone:520-572-1060
Mailing Address - Fax:520-744-7184
Practice Address - Street 1:7870 N SILVERBELL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-8230
Practice Address - Country:US
Practice Address - Phone:520-572-1060
Practice Address - Fax:520-744-7184
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist