Individual
MARSHALL FLORENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 FAIRFAX DR, PH 09, ARLINGTON, VA 22203-1661
(412) 527-0089
Mailing address
3900 FAIRFAX DR, PH 09, ARLINGTON, VA 22203-1661
(412) 527-0089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20628
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20628
PHARMACY LICENSE MARYLAND
MD
Enumeration date
11/18/2013
Last updated
11/18/2013
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