Provider Demographics
NPI:1609996024
Name:PHILLEY, MARGARET B (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:B
Last Name:PHILLEY
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 1:107 TILBURY ST
Mailing Address - Street 2:POB 117
Mailing Address - City:MER ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:71261
Mailing Address - Country:US
Mailing Address - Phone:318-647-5348
Mailing Address - Fax:318-647-5222
Practice Address - Street 1:204 DAVENPORT AVE
Practice Address - Street 2:
Practice Address - City:MER ROUGE
Practice Address - State:LA
Practice Address - Zip Code:71261
Practice Address - Country:US
Practice Address - Phone:318-647-5754
Practice Address - Fax:318-647-5222
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist