Provider Demographics
NPI:1679811533
Name:MAGWOOD, COREY L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:COREY
Middle Name:L
Last Name:MAGWOOD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 C ST SE
Mailing Address - Street 2:#204
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6288
Mailing Address - Country:US
Mailing Address - Phone:240-338-0866
Mailing Address - Fax:
Practice Address - Street 1:19718 GERMANTOWN RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1204
Practice Address - Country:US
Practice Address - Phone:301-916-8587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist