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NPI Code Detail

MEDICARE: DONALD MIXER MCGUIRE

MEDICARE:   DONALD MIXER MCGUIRE
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
1183500000XPharmacist25753CA

General Provider Information

NPI Number : 1396065918
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD MIXER MCGUIRE
Provider Business Mailing Address
First Line : 1132 N LA BREA AVE
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90038-1022
Country : US
Telephone Number : 323-463-8539
Fax Number : 323-463-0311
Provider Business Practice Location Address
First Line : 1132 N LA BREA AVE
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90038-1022
Country : US
Telephone Number : 323-463-8539
Fax Number : 323-463-0311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2010
Last Update Date : 06/04/2010

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Directions to “ DONALD MIXER MCGUIRE ” Practice Location

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