Provider Demographics
NPI:1245755784
Name:RASSINER, MARGUERITE LOUISE (RPH)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:LOUISE
Last Name:RASSINER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4936 SUNNYSLOPE AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-1406
Mailing Address - Country:US
Mailing Address - Phone:818-905-1432
Mailing Address - Fax:
Practice Address - Street 1:19307 SATICOY ST
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2330
Practice Address - Country:US
Practice Address - Phone:818-885-1525
Practice Address - Fax:818-885-8960
Is Sole Proprietor?:No
Enumeration Date:2017-08-06
Last Update Date:2019-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist