# MARSHALL PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marshall Pharmacy Discharge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124471644
- **Authorized official:** RYAN ATKINSON (SR. DIR. PHARMACY PAYER CONTRACTING)
- **Authorized official phone:** (806) 242-7782

## Contact information

- **Practice address:** 1600 MEDICAL CENTER DRIVE, HUNTINGTON, WV 25701-3655
- **Practice address phone:** (304) 691-6879
- **Practice address fax:** (304) 205-1844
- **Mailing address:** 320 S. POLK STREET, SUITE 800, AMARILLO, TX 79101-1429
- **Mailing address phone:** (806) 242-7782
- **Mailing address fax:** (806) 324-5495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | OP0552218 | WV | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 12/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2162083 | PK | — |