Healthcare Provider Details

I. General information

NPI: 1063702173
Provider Name (Legal Business Name): CARLA SCHOENBERGER MARSHALL PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2011
Last Update Date: 04/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7860 RAEFORD RD
FAYETTEVILLE NC
28304-6018
US

IV. Provider business mailing address

7860 RAEFORD RD
FAYETTEVILLE NC
28304-6018
US

V. Phone/Fax

Practice location:
  • Phone: 910-826-3582
  • Fax:
Mailing address:
  • Phone: 910-826-3582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14486
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: