Individual
CHERRIE MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21592 HIGH COUNTRY DR, TRABUCO CANYON, CA 92679-3470
(949) 500-0352
Mailing address
21592 HIGH COUNTRY DR, TRABUCO CANYON, CA 92679-3470
(949) 500-0352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0017834
OR
183500000X
Pharmacist
Primary
04322
CA
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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