MRS. Mariana Van Der Merwe

NPI #1134371339 in Fortuna, California

Provider Information

NPI Number: 1134371339
Entity Type: Individual
Name: MRS. Mariana Van Der Merwe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 21, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 725 SOUTH BOULEVARD
Address 2: RITE AID PHARMACY
City: Fortuna
State: California
ZIP Code: 95540
Phone: (707) 725-9314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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