Individual provider · Type 1 NPI

Justin Tyler Miracle

Pharmacist · Corvallis, OR

NPI number 1497354880 Active

Practice location

777 NW Kings Blvd
Corvallis, OR 97330-5620

Call (541) 754-5583 Map

Other practice locations

  • 3545 NE Canterbury Cir, Corvallis, OR 97330-4007 · (503) 877-4430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XPI-0013024 (OR)
Pharmacist Primary 183500000XRPH0018483 (OR)

Pharmacist: 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…

7 other providers at this address

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About NPI 1497354880

Justin Tyler Miracle's National Provider Identifier is 1497354880, issued on Oct 18, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Corvallis, OR. The record was last updated on Nov 15, 2023.