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NPI Code Detail

MEDICARE: JOHN MARSHALL

MEDICARE: JOHN MARSHALL
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
1183500000XPharmacistPH00009475WA

General Provider Information

NPI Number : 1427301688
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MARSHALL
Provider Business Mailing Address
First Line : 460 E NORTH BEND WAY
Second Line : PO BOX 329
City : NORTH BEND
State : WA
Zip : 98045-8270
Country : US
Telephone Number : 425-888-2357
Fax Number : 425-831-1953
Provider Business Practice Location Address
First Line : 460 E NORTH BEND WAY
Second Line :
City : NORTH BEND
State : WA
Zip : 98045-8270
Country : US
Telephone Number : 425-888-2357
Fax Number : 425-831-1953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2012
Last Update Date : 10/24/2012

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Directions to “ JOHN MARSHALL ” Practice Location

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