Provider Demographics
NPI:1255869368
Name:GURLEY, MARCUS MARION JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:MARION
Last Name:GURLEY
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 ED JONES RD
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-5343
Mailing Address - Country:US
Mailing Address - Phone:850-274-4908
Mailing Address - Fax:
Practice Address - Street 1:1217 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-2125
Practice Address - Country:US
Practice Address - Phone:850-274-4908
Practice Address - Fax:850-274-4908
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028852183500000X
FLPS53298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist