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NPI Code Detail

MEDICARE: MARISA M MAGHRAN R.PH.

MEDICARE: MARISA M MAGHRAN R.PH.
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
1183500000XPharmacistRP041701LPA

General Provider Information

NPI Number : 1588874879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISA M MAGHRAN R.PH.
Provider Business Mailing Address
First Line : 900 COMMERCE BLVD
Second Line :
City : DICKSON CITY
State : PA
Zip : 18519-1767
Country : US
Telephone Number : 570-383-4533
Fax Number :
Provider Business Practice Location Address
First Line : 900 COMMERCE BLVD
Second Line :
City : DICKSON CITY
State : PA
Zip : 18519-1767
Country : US
Telephone Number : 570-383-4533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 03/02/2010

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Directions to “ MARISA M MAGHRAN R.PH.” Practice Location

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