Provider Demographics
NPI:1396897633
Name:MCCAIN, GLORIA MARGARET (PHARM D)
Entity type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:MARGARET
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6023 W AVENUE K2
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-1820
Mailing Address - Country:US
Mailing Address - Phone:661-729-7020
Mailing Address - Fax:661-729-8644
Practice Address - Street 1:6023 W AVENUE K2
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-1820
Practice Address - Country:US
Practice Address - Phone:661-729-7020
Practice Address - Fax:661-729-8644
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist