Provider Demographics
NPI:1437511136
Name:GUIRGUIS, MONICA MARGARET (PHARM D)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MARGARET
Last Name:GUIRGUIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 BUGLE DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3526
Mailing Address - Country:US
Mailing Address - Phone:678-350-3150
Mailing Address - Fax:
Practice Address - Street 1:215 PAGE RD STE 269
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31098-1679
Practice Address - Country:US
Practice Address - Phone:478-926-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA028244183500000X
VA0202214619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist