Healthcare Provider Details

I. General information

NPI: 1912141623
Provider Name (Legal Business Name): MARSHALL FAMILY PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 HWY 25-70
MARSHALL NC
28753-6448
US

IV. Provider business mailing address

144 MOUNTAIN VIEW RD
MARS HILL NC
28754-9700
US

V. Phone/Fax

Practice location:
  • Phone: 828-649-0682
  • Fax: 828-649-0684
Mailing address:
  • Phone: 828-649-0682
  • Fax: 828-689-2681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number10303
License Number StateNC

VIII. Authorized Official

Name: MRS. DEBRA L HARRON
Title or Position: OWNER, PHARMACY MANAGER
Credential: RPH,MBA
Phone: 828-689-2667