Individual
COURTNEY MAGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BURNS LN, MASSAPEQUA, NY 11758-7825
(516) 798-8315
Mailing address
6 BURNS LN, MASSAPEQUA, NY 11758-7825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054740
NY
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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