Individual
DR. LISA ELIZABETH MARCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1204 N PENNSYLVANIA AVE, ROSWELL, NM 88201-5049
(505) 627-6915
(505) 627-2290
Mailing address
1204 N PENNSYLVANIA AVE, ROSWELL, NM 88201-5049
(505) 627-6915
(505) 627-2290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006781
NM
1835N1003X
Nutrition Support Pharmacist
RP00006781
NM
Other
Enumeration date
03/16/2007
Last updated
09/11/2025
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