Individual
ANDREA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3728 N PRINCE ST, CLOVIS, NM 88101-9744
(575) 769-2389
Mailing address
3728 N PRINCE ST, CLOVIS, NM 88101-9744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291212
IL
183500000X
Pharmacist
PS54787
FL
183500000X
Pharmacist
RP00007636
NM
183500000X
Pharmacist
RPH.03329307-3
OH
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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