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NPI Code Detail

MEDICARE: MRS. PAULA JANE MARSHALL D.PH.

MEDICARE:  MRS. PAULA JANE MARSHALL  D.PH.
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
11835P1200XPharmacotherapy Pharmacist6248TN

General Provider Information

NPI Number : 1902898398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULA JANE MARSHALL D.PH.
Provider Business Mailing Address
First Line : 513 ECHO SPRINGS RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-6003
Country : US
Telephone Number : 865-691-3028
Fax Number :
Provider Business Practice Location Address
First Line : 988 OAK RIDGE TPKE
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-6919
Country : US
Telephone Number : 865-481-0653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. PAULA JANE MARSHALL D.PH.” Practice Location

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