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
—
—
3336C0002X
Clinic Pharmacy
OP0552218
WV
3336C0002X
Clinic Pharmacy
Primary
—
—
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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