Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN TYLER MIRACLE
ActiveMR. JUSTIN TYLER MIRACLE is a Pharmacist healthcare provider located in CORVALLIS, Oregon. NPI 1497354880 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · CORVALLIS, OR
Registration Details
- NPI Number
- 1497354880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2020 (5.8134027352743 yrs)
- Last Updated
- Nov 15, 2023
- Licenses
-
PI-0013024 (OR)RPH0018483 (OR)
Practice Information
- Address
-
777 NW KINGS BLVDCORVALLIS, OR, 973305620Browse OR providers · Browse ZIP 97330
- Phone
- 5417545583
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| MR. MARC E HOLLINGSHEAD | RPH | 1427073485 |
| LINDA M SAMUELS | RPH | 1043228570 |
| MR. ROBERT W BOYCE | RPH | 1912008228 |
| STACY JO RAMIREZ | PHARM.D. | 1710053954 |
| MS. ROXY ANN STOCKBERGER | R.PH. | 1326182981 |
| MS. SUSAN CORREA MUKATIS | RPH | 1467585679 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.