MEDICARE: MARIANNA MAGOS

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	63013	CA

General Provider Information

NPI Number	:	1649800988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANNA MAGOS

Provider Business Mailing Address
First Line	:	1470 SCHOOL HOUSE RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-1240
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1109 STATE ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2712
Country	:	US
Telephone Number	:	805-564-3267
Fax Number	:

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

Provider Enumeration Date	:	01/24/2020
Last Update Date	:	01/24/2020

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Directions to “ MARIANNA MAGOS ” Practice Location

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