Individual
DR. JAMES JAVIER MARCILLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D., PH.C, RPH
Contact information
Practice address
1204 N PENNSYLVANIA AVE, ROSWELL, NM 88201-5049
(505) 317-5783
Mailing address
1204 N PENNSYLVANIA AVE, ROSWELL, NM 88201-5049
(505) 627-6915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006782
NM
1835N1003X
Nutrition Support Pharmacist
RP0006782
NM
1835P1200X
Pharmacotherapy Pharmacist
RP00006782
NM
Other
Enumeration date
11/16/2005
Last updated
09/11/2025
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