Individual
MRS. JILL ANN MAGDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
13720 HIGHWAY 74, INDIAN TRAIL, NC 28079-7600
(704) 821-1589
(704) 821-1645
Mailing address
5005 BILLYBROOK CT, MONROE, NC 28110-7690
(704) 225-8682
(704) 821-1645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905496
—
NC
Enumeration date
10/02/2009
Last updated
10/02/2009
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