Provider Demographics
NPI:1396068755
Name:MCGUOIRK, VALERIE ANN (RPH)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ANN
Last Name:MCGUOIRK
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 1:7711 STATE ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:VERMONTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12989-3501
Mailing Address - Country:US
Mailing Address - Phone:518-891-4547
Mailing Address - Fax:
Practice Address - Street 1:7711 STATE ROUTE 3
Practice Address - Street 2:
Practice Address - City:VERMONTVILLE
Practice Address - State:NY
Practice Address - Zip Code:12989-3501
Practice Address - Country:US
Practice Address - Phone:518-891-4547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist