Provider Demographics
NPI:1326716176
Name:MCNEILL, MAGGIE MONETTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:MONETTE
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:MONETTE
Other - Last Name:BALDOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12405 BRANDON ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3589
Mailing Address - Country:US
Mailing Address - Phone:907-646-4023
Mailing Address - Fax:
Practice Address - Street 1:4320 DIPLOMACY DR STE 1203
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5925
Practice Address - Country:US
Practice Address - Phone:907-729-4172
Practice Address - Fax:907-729-8870
Is Sole Proprietor?:No
Enumeration Date:2021-09-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1789901835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist