Juanita Venecia Magardie, PHARMACIST

NPI #1134433683 in Crescent City, California

Provider Information

NPI Number: 1134433683
Entity Type: Individual
Name: Juanita Venecia Magardie, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Jul 27, 2010
Last Updated: Jul 27, 2010

Practice Location

Address: 645 LAKE ST
City: Crescent City
State: California
ZIP Code: 95531-2011
Phone: (707) 291-7631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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