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NPI Code Detail

MEDICARE: JOHN DAVID MARSH RPH

MEDICARE: JOHN DAVID MARSH RPH
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
11835G0303XGeriatric Pharmacist8127SC

General Provider Information

NPI Number : 1982786331
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DAVID MARSH RPH
Provider Business Mailing Address
First Line : 1308 LAUREL ST
Second Line : 2ND FLOOR
City : COLUMBIA
State : SC
Zip : 29201-2514
Country : US
Telephone Number : 803-931-8124
Fax Number : 803-931-8201
Provider Business Practice Location Address
First Line : 1308 LAUREL ST
Second Line : 2ND FLOOR
City : COLUMBIA
State : SC
Zip : 29201-2514
Country : US
Telephone Number : 803-931-8124
Fax Number : 803-931-8201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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