MEDICARE: DR. MARY MARGARET MCGUIGGAN PHARMD

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	115148	MN

General Provider Information

NPI Number	:	1689911125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY MARGARET MCGUIGGAN PHARMD

Provider Business Mailing Address
First Line	:	10516 ZION AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55437-2733
Country	:	US
Telephone Number	:	952-888-5505
Fax Number	:

Provider Business Practice Location Address
First Line	:	10516 ZION AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55437-2733
Country	:	US
Telephone Number	:	952-888-5505
Fax Number	:

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

Provider Enumeration Date	:	01/03/2013
Last Update Date	:	01/03/2013

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