Individual
DR. BRIANCCA C MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11 E 75TH ST, CHICAGO, IL 60619-1601
(773) 224-1211
(773) 224-1810
Mailing address
11 E 75TH ST, CHICAGO, IL 60619-1601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-299312
IL
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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