Individual
DEREK MAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 471-9213
Mailing address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021579
LA
Other
Enumeration date
06/29/2016
Last updated
08/06/2026
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