Provider Demographics
NPI:1396043915
Name:KRILL, MARCY LYNN (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:LYNN
Last Name:KRILL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9189 LYON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEW TRIPOLI
Mailing Address - State:PA
Mailing Address - Zip Code:18066-3047
Mailing Address - Country:US
Mailing Address - Phone:610-285-6130
Mailing Address - Fax:
Practice Address - Street 1:7719 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOGELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18051-1600
Practice Address - Country:US
Practice Address - Phone:610-391-0922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-06
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist