Individual
MR. MAX L MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5341 PELHAM WAY, INDIANAPOLIS, IN 46216-2215
(317) 562-1176
Mailing address
5341 PELHAM WAY, INDIANAPOLIS, IN 46216-2215
(317) 562-1176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018985A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26018985A
PHARMACIST LICENSE
IN
Enumeration date
11/02/2011
Last updated
11/02/2011
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