Individual
MARY ELLEN ELLEN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39510 N GAVILAN PEAK PKWY, ANTHEM, AZ 85086-2777
(623) 551-1031
(623) 551-4924
Mailing address
39510 N GAVILAN PEAK PKWY, ANTHEM, AZ 85086-2777
(623) 551-1031
(623) 551-4924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13508
AZ
183500000X
Pharmacist
Primary
31813
TX
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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