Individual
DR. TARA ANN MARGADONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1993 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3424
(636) 332-6217
Mailing address
1993 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3424
(636) 332-6217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009033314
MO
Other
Enumeration date
06/01/2013
Last updated
06/01/2013
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