Provider Demographics
NPI:1720323595
Name:MCGUIRE, DON RICHARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:RICHARD
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11120 LOMAS BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-5582
Mailing Address - Country:US
Mailing Address - Phone:505-346-0193
Mailing Address - Fax:505-346-0193
Practice Address - Street 1:11120 LOMAS BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5582
Practice Address - Country:US
Practice Address - Phone:505-346-0193
Practice Address - Fax:505-346-0193
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM4256183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist