Provider Demographics
NPI:1972602779
Name:MILLER, SHEILA D (PHARMD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:D
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 1:11241 W RUDDY DR
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-7726
Mailing Address - Country:US
Mailing Address - Phone:520-682-2127
Mailing Address - Fax:
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:520-744-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15684183500000X
KS1-13870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist