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NPI Code Detail

MEDICARE: DR. MARLEE MARIE GROUNDS PHARMD

MEDICARE: DR. MARLEE MARIE GROUNDS 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
1183500000XPharmacist69213CA

General Provider Information

NPI Number : 1841623659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARLEE MARIE GROUNDS PHARMD
Provider Business Mailing Address
First Line : 2851 DEL PASO RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2851 DEL PASO RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2304
Country : US
Telephone Number : 916-285-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 08/16/2013

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