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NPI Code Detail

MEDICARE: MAGGIE LA RPH

MEDICARE: MAGGIE LA 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
1183500000XPharmacist71079CA

General Provider Information

NPI Number : 1407249493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE LA RPH
Provider Business Mailing Address
First Line : 19821 RINALDI ST
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19821 RINALDI ST
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4145
Country : US
Telephone Number : 818-832-6592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2015
Last Update Date : 03/14/2015

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Directions to “ MAGGIE LA RPH” Practice Location

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