Provider Demographics
NPI:1174727929
Name:SIMONEAU, MARGARET ANN (RPH)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:SIMONEAU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 FRIENDSHIP BLVD
Mailing Address - Street 2:2120
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7219
Mailing Address - Country:US
Mailing Address - Phone:301-796-1295
Mailing Address - Fax:301-796-9712
Practice Address - Street 1:5500 FRIENDSHIP BLVD
Practice Address - Street 2:2120
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7219
Practice Address - Country:US
Practice Address - Phone:301-796-1295
Practice Address - Fax:301-796-9712
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist