MEDICARE: MARGARET CORNELIA MEYER-PRETORIUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	27336	CA

General Provider Information

NPI Number	:	1669763124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET CORNELIA MEYER-PRETORIUS

Provider Business Mailing Address
First Line	:	19205 HIGHWAY 12
Second Line	:
City	:	SONOMA
State	:	CA
Zip	:	95476-5413
Country	:	US
Telephone Number	:	707-938-0547
Fax Number	:

Provider Business Practice Location Address
First Line	:	19205 HIGHWAY 12
Second Line	:
City	:	SONOMA
State	:	CA
Zip	:	95476-5413
Country	:	US
Telephone Number	:	707-938-0547
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2011
Last Update Date	:	05/02/2011

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Directions to “ MARGARET CORNELIA MEYER-PRETORIUS ” Practice Location

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