Individual
DR. MARISSA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
2919 S ALCAMO WAY, MERIDIAN, ID 83642-1101
(208) 515-6681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I75599
ID
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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