location
search-icon
person
Mr. Justin Tyler Miracle
Pharmacist in Corvallis, Oregon
NPI 1497354880

Justin Tyler Miracle is a Pharmacist based in Corvallis, OR. Justin Tyler Miracle practices in Corvallis, OR. The NPI Number for Justin Tyler Miracle is 1497354880 and holds a License No. PI-0013024 (Oregon).

The current practice location address for Justin Tyler Miracle is 777 Nw Kings Blvd, Corvallis, OR and can be reached out via phone at 541-754-5583.

Location: 777 Nw Kings Blvd, Corvallis, OR, 97330-5620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497354880
Provider Name
Justin Tyler Miracle
Credential
Provider Entity Type
Individual
Gender
Male
Address
777 Nw Kings Blvd, Corvallis, OR, 97330-5620
Phone Number
541-754-5583
Fax Number
Provider Enumeration Date
10/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Nw Kings Blvd
City
Corvallis
State
Oregon
Zip
97330-5620
Phone Number
541-754-5583
Fax Number
person
Provider Business Mailing Address Details
Address
777 Nw Kings Blvd
City
Corvallis
State
Oregon
Zip
97330-5620
Phone Number
541-754-5583
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH0018483 (Oregon)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PI-0013024 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Corvallis, Oregon:

person
Patrick W Cummings
NPI 1396803631
Pharmacist
530 Nw 27Th St,
CORVALLIS, OR
97330-5223
541-766-6835
More
person
Philip Jerrell Menagh
NPI 1922151778
Pharmacist
1330 Nw 11Th St,
CORVALLIS, OR
97330-4619
503-544-1613
More