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NPI Code Detail

MEDICARE: MARILYN C POWELL PHARMD

MEDICARE: MARILYN C POWELL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist21240NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023369410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN C POWELL PHARMD
Provider Business Mailing Address
First Line : 1106 KINGOLD BLVD
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1619
Country : US
Telephone Number : 252-747-6512
Fax Number : 252-747-6515
Provider Business Practice Location Address
First Line : 1106 KINGOLD BLVD
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1619
Country : US
Telephone Number : 252-747-6512
Fax Number : 252-747-6515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2012
Last Update Date : 09/25/2012

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Directions to “ MARILYN C POWELL PHARMD” Practice Location

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