Provider Demographics
NPI:1982829834
Name:MAGSARILI, RODOLFO QUIZON JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:RODOLFO
Middle Name:QUIZON
Last Name:MAGSARILI
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26211 N 46TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-8515
Mailing Address - Country:US
Mailing Address - Phone:480-323-3850
Mailing Address - Fax:
Practice Address - Street 1:26211 N 46TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-8515
Practice Address - Country:US
Practice Address - Phone:480-323-3850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist