Individual
DR. SUSAN MYRICK MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
124 N. WASHINGTON, EAST PRAIRIE, MO 63845
(573) 649-3923
(573) 649-3761
Mailing address
2457 S. 413TH RD., EAST PRAIRIE, MO 63845
(573) 649-2286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004031011
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358755809
—
MO
Enumeration date
05/01/2007
Last updated
07/09/2007
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