Healthcare Provider Details

I. General information

NPI: 1750720884
Provider Name (Legal Business Name): JUSTIN C MARKLEY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALTER REED NATIONAL MILITARY MEDICAL CENTER
BETHESDA MD
20889-4934
US

IV. Provider business mailing address

WALTER REED NATIONAL MILITARY MEDICAL CENTER
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-3899
  • Fax:
Mailing address:
  • Phone: 301-400-3899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number48802
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48802
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: