Provider Demographics
NPI:1003416686
Name:DAUGHTERS, MARLEYNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARLEYNA
Middle Name:
Last Name:DAUGHTERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24001 CALLE DE LA MAGDALENA UNIT 2877
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92654-1235
Mailing Address - Country:US
Mailing Address - Phone:949-613-4020
Mailing Address - Fax:
Practice Address - Street 1:25 SAINT PAUL LN
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-9374
Practice Address - Country:US
Practice Address - Phone:949-613-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-31
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist