Provider Demographics
NPI:1194310680
Name:MAGLIERI, EMELIA
Entity type:Individual
Prefix:
First Name:EMELIA
Middle Name:
Last Name:MAGLIERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3802 N PEARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-0812
Mailing Address - Country:US
Mailing Address - Phone:559-942-1203
Mailing Address - Fax:
Practice Address - Street 1:3802 N PEARWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-0812
Practice Address - Country:US
Practice Address - Phone:559-942-1203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist