MEDICARE: CANDICE JACQUELINE O'GARRO RPH

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	A1-0003515	DE

General Provider Information

NPI Number	:	1326323247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE JACQUELINE O'GARRO RPH

Provider Business Mailing Address
First Line	:	52 W BIRDIE LN
Second Line	:
City	:	MAGNOLIA
State	:	DE
Zip	:	19962-3110
Country	:	US
Telephone Number	:	302-697-7435
Fax Number	:	302-697-8593

Provider Business Practice Location Address
First Line	:	52 W BIRDIE LN
Second Line	:
City	:	MAGNOLIA
State	:	DE
Zip	:	19962-3110
Country	:	US
Telephone Number	:	302-697-7435
Fax Number	:	302-697-8593

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

Provider Enumeration Date	:	10/12/2011
Last Update Date	:	10/12/2011

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