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Organization
MARSHALL PHARMACY INC.
Active
Organization
MARSHALL PHARMACY INC.
Active
Other names
Marshall Pharmacy Discharge
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ATKINSON (SR. DIR. PHARMACY PAYER CONTRACTING)
(806) 242-7782
Entity
Organization
Contact information
Practice address
1600 MEDICAL CENTER DRIVE, HUNTINGTON, WV 25701-3655
(304) 691-6879
(304) 205-1844
Mailing address
320 S. POLK STREET, SUITE 800, AMARILLO, TX 79101-1429
(806) 242-7782
(806) 324-5495
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
OP0552218
WV
3336C0002X
Clinic Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162083
PK
—
Enumeration date
07/20/2016
Last updated
12/08/2021
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