Individual provider · Type 1 NPI

Marion Elise Liddicoat, PharmD

Pharmacist · Grass Valley, CA

NPI number 1902177165 Active

Practice location

880 Sutton Way
Grass Valley, CA 95945-5167

Fax (530) 271-1043

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X55954 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1902177165

Marion Elise Liddicoat, PharmD's National Provider Identifier is 1902177165, issued on Jan 19, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grass Valley, CA. The record was last updated on Jan 19, 2012.