Individual
DR. SAMANTHA MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
301 TROY DR, MADISON, WI 53704-1521
(608) 301-1253
(608) 301-1556
Mailing address
301 TROY DR, MADISON, WI 53704-1521
(608) 301-1253
(608) 301-1556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17928-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17928-40
PHARMACIST LICENSE
WI
Enumeration date
10/14/2015
Last updated
10/14/2015
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