Provider Demographics
NPI:1548878325
Name:SO, MARGARET P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:P
Last Name:SO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4379 TERRABELLA PL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-3161
Mailing Address - Country:US
Mailing Address - Phone:510-409-1730
Mailing Address - Fax:
Practice Address - Street 1:4379 TERRABELLA PL
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-3161
Practice Address - Country:US
Practice Address - Phone:510-409-1730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH33116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH33006OtherPHARMACY