Provider Demographics
NPI:1093129108
Name:MARSH, CHABELY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHABELY
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3726 ROYALFERN CT
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-8615
Mailing Address - Country:US
Mailing Address - Phone:305-904-6719
Mailing Address - Fax:
Practice Address - Street 1:3726 ROYALFERN CT
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-8615
Practice Address - Country:US
Practice Address - Phone:305-904-6719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL46745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist